10A NCAC 09 .0601 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 60004224 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 9/15/2025 Number Present: 115 Completed Date: 9/15/2025 Age: From 0 To 5 Total Minutes: 405 Time In: 09:30 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by the Director, Ms. Debbie Bryan, and I explained the purpose of the visit. Ms. Bryan assisted me with the visit. Your program currently operates with a four-star license, issued February 28, 2025. Your program was also monitored for compliance with implementing an approved curriculum (Creative Curriculum/Teaching Strategies) as required for all four and five star licensed facilities where four (4) year-old children are enrolled. The last annual compliance visit was conducted September 19, 2025. The sanitation inspection was completed August 20, 2025 with an “Approved” classification and eighteen (18) demerits. The last fire inspection was conducted October 2, 2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of September 14, 2025. The NC Secretary of State website was reviewed on September 15, 2025 and Premier NC Prosperity Point LLC was listed as current- active. You visited each indoor and outdoor space with me. In space 1 and space 2 children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. I observed children in space 3 and space 4 having supervised independent play; adequate supervision was provided. The children in space 5 were observed returning from outdoor play. Upon return to the classroom, I observed the children handwashing; adequate supervision was provided. I observed the children in space 6 and space 7 (Meck Pre-K) completing an art activity; adequate supervision was provided. The children in space 8 were observed having independent play; adequate supervision was provided. I observed the children in space 9 (Meck Pre-K) preparing for outdoor play, and I observed the children in space 10 (Meck Pre-K) having supervised independent play; adequate supervision was provided. Cots and a rest period were observed available for children enrolled in Meck Pre-K. I observed a Speech Therapist, Jennifer Blake, and Therapist Lauren Coleman, with Speech Works working independently with children; a current criminal qualifying letters were on file. The 2025 Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers was provided after the visit. The following program requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, Summary of NC Law, Menu, Daily Schedules and Activity Plans, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspections, Emergency Medical Care Plan, Safe Sleep Poster/Policy, and Incident Log; a violation was cited for an Incident Report. Children's emergency medication reviewed and compliance was met. Children’s allergies/food preference were posted; last updated September 2025. Ten (10) percent of children's files were reviewed. The staff and training worksheet was used to review staff files. The center has three (3) new staff, and the new staff files were reviewed; compliance was met. A veteran staff file was reviewed; compliance was met. The center roster was complete in Automated Background Check Management System (ABCMS). The outdoor play area was monitored. A violation was cited for a gate latch. The center does not provide transportation, and the Safe Delivery Statement was posted. The Emergency Preparedness and Response Plan was reviewed; last updated May 7, 2025. The facility has accommodations to evacuate the children from the facility in an emergency. Three (3) violations were cited. Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. The gate latch to the two (2) year-old outdoor play area was broken. .0601(c) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An Incident Report that was completed on September 11, 2025, did not include all the required information in rule; the report did not include the child's last name, the report was not signed by the person completing it; did not include Medical Treatment Received: First Aid Onsite (ice pack provided). .0802 (e) 1328 Children's records were not made available for review. A child is space 1 record was not available for review. G.S. 110-91(9) The Notice of Administrative Action (Written Reprimand) was observed posted in the foyer; to be posted for three (3) months. -The center previously confirmed on June 17, 2025, that the notice was received, and the center posted the notice. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 29, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -All children's files must be available for review (G.S. 110-91(9); Child Care Rule 10A NCAC 09 .2318) -Incident reports must be completed each time a child is injured, it must include all the information required in rule, and it must be signed by the parent and/or maintained in the child's file. An Incident Report that was completed September 11, 2025, did not include the child's last name, the person's signature that completed the Incident Report, and the report did not include First Aid Onsite, that was provided by the Assistant Director, Ms. Shaundra Garris. According to Ms. Bryan, the parent refused to sign the incident report and the child received medical treatment. Medical documents were not provided to the center; parent refused to provide the medical documents. -The indoor equipment and furnishings were clean and were in good repair. Equipment and furnishings must be sturdy, stable and free of hazards. The gate latch to the two (2) year-old outdoor play area was broken; the gate was observed closed, but the gate latch needs to be secure (Child Care Rule 10A NCAC 09 .0601(c)). -The staff roster was complete in ABCMS. -There are four (4) staff members that will expire for CPR/First Aid Training in October 2025. Staff must have approved training in CPR/First Aid Verification of staff completion training from an approved training organization; verification must be in the staff file (Child Care Rule 10A NCAC 09 .1102(c)(d)). -Continue to review the Emergency Medical Care Plan annually (Child Care Rule 10A NCAC 09 .0802(a)). -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. •Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. • Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. -On June 26th, the North Carolina Rules Review Commission (RRC) approved the QRIS Modernization rules adopted by the NC Child Care Commission during their April meeting. The Division of Child Development and Early Education is preparing a summary of the rules, an online training module for Moodle, and an implementation plan. The implementation plan will allow time for administrators/operators to learn and understand the different pathways and the changes within our system. We encourage you to visit the QRIS Modernization page on the DCDEE website to learn more now. -The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition will begin soon with the following informational opportunities: • In August, we’ll provide a rule roll out module in the DCDEE e-learning Moodle platform and hosted webinars. • In September, child care consultants hosted in-person facility operator/administrator meetings within the counties served; provided additional guidance on the changes, the transition plan and timeline. • Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within twelve (12) months based on the pathway chosen. -Child Care Consultants from Mecklenburg County hosted training sessions on QRIS. Ms. Bryan stated that she attended a QRIS Session. The session will provide valuable insights on QRIS, also known as Pathways to the Stars, and is designed to help you understand and prepare for the transition to the new QRIS system. -Get Ready for the 3’s / QRIS: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Please review the information on the NCRLAP's website to become familiar with the new third edition. -An email was issued on July 31, 2025, regarding the Quality Every Day (QED) Program. Ms. Bryan stated the program is currently participating in QED. Quality Every Day (QED) is a quality initiative at Child Care Resources Inc., funded by Smart Start of Mecklenburg County. They are recruiting for the QED Program this year for those that may be interested in coaching and training for teachers and directors. There are different tracks for participation (Licensing renewal, Program start-up, staff-child interactions and director support); and there are new opportunities this year like updated ERS-3 trainings, Leadership college coursework for administrators and Communities of Practice for both Child Care Directors and Family Child Care providers. They still have opportunities for college coursework and stipends for coursework completion. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, 704-962-7854, Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, 704-594-0147, Michele.Sullivan@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0802 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 60004224 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 9/15/2025 Number Present: 115 Completed Date: 9/15/2025 Age: From 0 To 5 Total Minutes: 405 Time In: 09:30 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by the Director, Ms. Debbie Bryan, and I explained the purpose of the visit. Ms. Bryan assisted me with the visit. Your program currently operates with a four-star license, issued February 28, 2025. Your program was also monitored for compliance with implementing an approved curriculum (Creative Curriculum/Teaching Strategies) as required for all four and five star licensed facilities where four (4) year-old children are enrolled. The last annual compliance visit was conducted September 19, 2025. The sanitation inspection was completed August 20, 2025 with an “Approved” classification and eighteen (18) demerits. The last fire inspection was conducted October 2, 2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of September 14, 2025. The NC Secretary of State website was reviewed on September 15, 2025 and Premier NC Prosperity Point LLC was listed as current- active. You visited each indoor and outdoor space with me. In space 1 and space 2 children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. I observed children in space 3 and space 4 having supervised independent play; adequate supervision was provided. The children in space 5 were observed returning from outdoor play. Upon return to the classroom, I observed the children handwashing; adequate supervision was provided. I observed the children in space 6 and space 7 (Meck Pre-K) completing an art activity; adequate supervision was provided. The children in space 8 were observed having independent play; adequate supervision was provided. I observed the children in space 9 (Meck Pre-K) preparing for outdoor play, and I observed the children in space 10 (Meck Pre-K) having supervised independent play; adequate supervision was provided. Cots and a rest period were observed available for children enrolled in Meck Pre-K. I observed a Speech Therapist, Jennifer Blake, and Therapist Lauren Coleman, with Speech Works working independently with children; a current criminal qualifying letters were on file. The 2025 Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers was provided after the visit. The following program requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, Summary of NC Law, Menu, Daily Schedules and Activity Plans, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspections, Emergency Medical Care Plan, Safe Sleep Poster/Policy, and Incident Log; a violation was cited for an Incident Report. Children's emergency medication reviewed and compliance was met. Children’s allergies/food preference were posted; last updated September 2025. Ten (10) percent of children's files were reviewed. The staff and training worksheet was used to review staff files. The center has three (3) new staff, and the new staff files were reviewed; compliance was met. A veteran staff file was reviewed; compliance was met. The center roster was complete in Automated Background Check Management System (ABCMS). The outdoor play area was monitored. A violation was cited for a gate latch. The center does not provide transportation, and the Safe Delivery Statement was posted. The Emergency Preparedness and Response Plan was reviewed; last updated May 7, 2025. The facility has accommodations to evacuate the children from the facility in an emergency. Three (3) violations were cited. Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. The gate latch to the two (2) year-old outdoor play area was broken. .0601(c) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An Incident Report that was completed on September 11, 2025, did not include all the required information in rule; the report did not include the child's last name, the report was not signed by the person completing it; did not include Medical Treatment Received: First Aid Onsite (ice pack provided). .0802 (e) 1328 Children's records were not made available for review. A child is space 1 record was not available for review. G.S. 110-91(9) The Notice of Administrative Action (Written Reprimand) was observed posted in the foyer; to be posted for three (3) months. -The center previously confirmed on June 17, 2025, that the notice was received, and the center posted the notice. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 29, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -All children's files must be available for review (G.S. 110-91(9); Child Care Rule 10A NCAC 09 .2318) -Incident reports must be completed each time a child is injured, it must include all the information required in rule, and it must be signed by the parent and/or maintained in the child's file. An Incident Report that was completed September 11, 2025, did not include the child's last name, the person's signature that completed the Incident Report, and the report did not include First Aid Onsite, that was provided by the Assistant Director, Ms. Shaundra Garris. According to Ms. Bryan, the parent refused to sign the incident report and the child received medical treatment. Medical documents were not provided to the center; parent refused to provide the medical documents. -The indoor equipment and furnishings were clean and were in good repair. Equipment and furnishings must be sturdy, stable and free of hazards. The gate latch to the two (2) year-old outdoor play area was broken; the gate was observed closed, but the gate latch needs to be secure (Child Care Rule 10A NCAC 09 .0601(c)). -The staff roster was complete in ABCMS. -There are four (4) staff members that will expire for CPR/First Aid Training in October 2025. Staff must have approved training in CPR/First Aid Verification of staff completion training from an approved training organization; verification must be in the staff file (Child Care Rule 10A NCAC 09 .1102(c)(d)). -Continue to review the Emergency Medical Care Plan annually (Child Care Rule 10A NCAC 09 .0802(a)). -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. •Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. • Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. -On June 26th, the North Carolina Rules Review Commission (RRC) approved the QRIS Modernization rules adopted by the NC Child Care Commission during their April meeting. The Division of Child Development and Early Education is preparing a summary of the rules, an online training module for Moodle, and an implementation plan. The implementation plan will allow time for administrators/operators to learn and understand the different pathways and the changes within our system. We encourage you to visit the QRIS Modernization page on the DCDEE website to learn more now. -The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition will begin soon with the following informational opportunities: • In August, we’ll provide a rule roll out module in the DCDEE e-learning Moodle platform and hosted webinars. • In September, child care consultants hosted in-person facility operator/administrator meetings within the counties served; provided additional guidance on the changes, the transition plan and timeline. • Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within twelve (12) months based on the pathway chosen. -Child Care Consultants from Mecklenburg County hosted training sessions on QRIS. Ms. Bryan stated that she attended a QRIS Session. The session will provide valuable insights on QRIS, also known as Pathways to the Stars, and is designed to help you understand and prepare for the transition to the new QRIS system. -Get Ready for the 3’s / QRIS: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Please review the information on the NCRLAP's website to become familiar with the new third edition. -An email was issued on July 31, 2025, regarding the Quality Every Day (QED) Program. Ms. Bryan stated the program is currently participating in QED. Quality Every Day (QED) is a quality initiative at Child Care Resources Inc., funded by Smart Start of Mecklenburg County. They are recruiting for the QED Program this year for those that may be interested in coaching and training for teachers and directors. There are different tracks for participation (Licensing renewal, Program start-up, staff-child interactions and director support); and there are new opportunities this year like updated ERS-3 trainings, Leadership college coursework for administrators and Communities of Practice for both Child Care Directors and Family Child Care providers. They still have opportunities for college coursework and stipends for coursework completion. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, 704-962-7854, Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, 704-594-0147, Michele.Sullivan@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 60004224 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 9/15/2025 Number Present: 115 Completed Date: 9/15/2025 Age: From 0 To 5 Total Minutes: 405 Time In: 09:30 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by the Director, Ms. Debbie Bryan, and I explained the purpose of the visit. Ms. Bryan assisted me with the visit. Your program currently operates with a four-star license, issued February 28, 2025. Your program was also monitored for compliance with implementing an approved curriculum (Creative Curriculum/Teaching Strategies) as required for all four and five star licensed facilities where four (4) year-old children are enrolled. The last annual compliance visit was conducted September 19, 2025. The sanitation inspection was completed August 20, 2025 with an “Approved” classification and eighteen (18) demerits. The last fire inspection was conducted October 2, 2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of September 14, 2025. The NC Secretary of State website was reviewed on September 15, 2025 and Premier NC Prosperity Point LLC was listed as current- active. You visited each indoor and outdoor space with me. In space 1 and space 2 children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. I observed children in space 3 and space 4 having supervised independent play; adequate supervision was provided. The children in space 5 were observed returning from outdoor play. Upon return to the classroom, I observed the children handwashing; adequate supervision was provided. I observed the children in space 6 and space 7 (Meck Pre-K) completing an art activity; adequate supervision was provided. The children in space 8 were observed having independent play; adequate supervision was provided. I observed the children in space 9 (Meck Pre-K) preparing for outdoor play, and I observed the children in space 10 (Meck Pre-K) having supervised independent play; adequate supervision was provided. Cots and a rest period were observed available for children enrolled in Meck Pre-K. I observed a Speech Therapist, Jennifer Blake, and Therapist Lauren Coleman, with Speech Works working independently with children; a current criminal qualifying letters were on file. The 2025 Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers was provided after the visit. The following program requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, Summary of NC Law, Menu, Daily Schedules and Activity Plans, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspections, Emergency Medical Care Plan, Safe Sleep Poster/Policy, and Incident Log; a violation was cited for an Incident Report. Children's emergency medication reviewed and compliance was met. Children’s allergies/food preference were posted; last updated September 2025. Ten (10) percent of children's files were reviewed. The staff and training worksheet was used to review staff files. The center has three (3) new staff, and the new staff files were reviewed; compliance was met. A veteran staff file was reviewed; compliance was met. The center roster was complete in Automated Background Check Management System (ABCMS). The outdoor play area was monitored. A violation was cited for a gate latch. The center does not provide transportation, and the Safe Delivery Statement was posted. The Emergency Preparedness and Response Plan was reviewed; last updated May 7, 2025. The facility has accommodations to evacuate the children from the facility in an emergency. Three (3) violations were cited. Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. The gate latch to the two (2) year-old outdoor play area was broken. .0601(c) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An Incident Report that was completed on September 11, 2025, did not include all the required information in rule; the report did not include the child's last name, the report was not signed by the person completing it; did not include Medical Treatment Received: First Aid Onsite (ice pack provided). .0802 (e) 1328 Children's records were not made available for review. A child is space 1 record was not available for review. G.S. 110-91(9) The Notice of Administrative Action (Written Reprimand) was observed posted in the foyer; to be posted for three (3) months. -The center previously confirmed on June 17, 2025, that the notice was received, and the center posted the notice. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 29, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -All children's files must be available for review (G.S. 110-91(9); Child Care Rule 10A NCAC 09 .2318) -Incident reports must be completed each time a child is injured, it must include all the information required in rule, and it must be signed by the parent and/or maintained in the child's file. An Incident Report that was completed September 11, 2025, did not include the child's last name, the person's signature that completed the Incident Report, and the report did not include First Aid Onsite, that was provided by the Assistant Director, Ms. Shaundra Garris. According to Ms. Bryan, the parent refused to sign the incident report and the child received medical treatment. Medical documents were not provided to the center; parent refused to provide the medical documents. -The indoor equipment and furnishings were clean and were in good repair. Equipment and furnishings must be sturdy, stable and free of hazards. The gate latch to the two (2) year-old outdoor play area was broken; the gate was observed closed, but the gate latch needs to be secure (Child Care Rule 10A NCAC 09 .0601(c)). -The staff roster was complete in ABCMS. -There are four (4) staff members that will expire for CPR/First Aid Training in October 2025. Staff must have approved training in CPR/First Aid Verification of staff completion training from an approved training organization; verification must be in the staff file (Child Care Rule 10A NCAC 09 .1102(c)(d)). -Continue to review the Emergency Medical Care Plan annually (Child Care Rule 10A NCAC 09 .0802(a)). -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. •Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. • Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. -On June 26th, the North Carolina Rules Review Commission (RRC) approved the QRIS Modernization rules adopted by the NC Child Care Commission during their April meeting. The Division of Child Development and Early Education is preparing a summary of the rules, an online training module for Moodle, and an implementation plan. The implementation plan will allow time for administrators/operators to learn and understand the different pathways and the changes within our system. We encourage you to visit the QRIS Modernization page on the DCDEE website to learn more now. -The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition will begin soon with the following informational opportunities: • In August, we’ll provide a rule roll out module in the DCDEE e-learning Moodle platform and hosted webinars. • In September, child care consultants hosted in-person facility operator/administrator meetings within the counties served; provided additional guidance on the changes, the transition plan and timeline. • Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within twelve (12) months based on the pathway chosen. -Child Care Consultants from Mecklenburg County hosted training sessions on QRIS. Ms. Bryan stated that she attended a QRIS Session. The session will provide valuable insights on QRIS, also known as Pathways to the Stars, and is designed to help you understand and prepare for the transition to the new QRIS system. -Get Ready for the 3’s / QRIS: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Please review the information on the NCRLAP's website to become familiar with the new third edition. -An email was issued on July 31, 2025, regarding the Quality Every Day (QED) Program. Ms. Bryan stated the program is currently participating in QED. Quality Every Day (QED) is a quality initiative at Child Care Resources Inc., funded by Smart Start of Mecklenburg County. They are recruiting for the QED Program this year for those that may be interested in coaching and training for teachers and directors. There are different tracks for participation (Licensing renewal, Program start-up, staff-child interactions and director support); and there are new opportunities this year like updated ERS-3 trainings, Leadership college coursework for administrators and Communities of Practice for both Child Care Directors and Family Child Care providers. They still have opportunities for college coursework and stipends for coursework completion. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, 704-962-7854, Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, 704-594-0147, Michele.Sullivan@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2318 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 60004224 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 9/15/2025 Number Present: 115 Completed Date: 9/15/2025 Age: From 0 To 5 Total Minutes: 405 Time In: 09:30 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by the Director, Ms. Debbie Bryan, and I explained the purpose of the visit. Ms. Bryan assisted me with the visit. Your program currently operates with a four-star license, issued February 28, 2025. Your program was also monitored for compliance with implementing an approved curriculum (Creative Curriculum/Teaching Strategies) as required for all four and five star licensed facilities where four (4) year-old children are enrolled. The last annual compliance visit was conducted September 19, 2025. The sanitation inspection was completed August 20, 2025 with an “Approved” classification and eighteen (18) demerits. The last fire inspection was conducted October 2, 2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of September 14, 2025. The NC Secretary of State website was reviewed on September 15, 2025 and Premier NC Prosperity Point LLC was listed as current- active. You visited each indoor and outdoor space with me. In space 1 and space 2 children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. I observed children in space 3 and space 4 having supervised independent play; adequate supervision was provided. The children in space 5 were observed returning from outdoor play. Upon return to the classroom, I observed the children handwashing; adequate supervision was provided. I observed the children in space 6 and space 7 (Meck Pre-K) completing an art activity; adequate supervision was provided. The children in space 8 were observed having independent play; adequate supervision was provided. I observed the children in space 9 (Meck Pre-K) preparing for outdoor play, and I observed the children in space 10 (Meck Pre-K) having supervised independent play; adequate supervision was provided. Cots and a rest period were observed available for children enrolled in Meck Pre-K. I observed a Speech Therapist, Jennifer Blake, and Therapist Lauren Coleman, with Speech Works working independently with children; a current criminal qualifying letters were on file. The 2025 Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers was provided after the visit. The following program requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, Summary of NC Law, Menu, Daily Schedules and Activity Plans, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspections, Emergency Medical Care Plan, Safe Sleep Poster/Policy, and Incident Log; a violation was cited for an Incident Report. Children's emergency medication reviewed and compliance was met. Children’s allergies/food preference were posted; last updated September 2025. Ten (10) percent of children's files were reviewed. The staff and training worksheet was used to review staff files. The center has three (3) new staff, and the new staff files were reviewed; compliance was met. A veteran staff file was reviewed; compliance was met. The center roster was complete in Automated Background Check Management System (ABCMS). The outdoor play area was monitored. A violation was cited for a gate latch. The center does not provide transportation, and the Safe Delivery Statement was posted. The Emergency Preparedness and Response Plan was reviewed; last updated May 7, 2025. The facility has accommodations to evacuate the children from the facility in an emergency. Three (3) violations were cited. Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. The gate latch to the two (2) year-old outdoor play area was broken. .0601(c) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An Incident Report that was completed on September 11, 2025, did not include all the required information in rule; the report did not include the child's last name, the report was not signed by the person completing it; did not include Medical Treatment Received: First Aid Onsite (ice pack provided). .0802 (e) 1328 Children's records were not made available for review. A child is space 1 record was not available for review. G.S. 110-91(9) The Notice of Administrative Action (Written Reprimand) was observed posted in the foyer; to be posted for three (3) months. -The center previously confirmed on June 17, 2025, that the notice was received, and the center posted the notice. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 29, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -All children's files must be available for review (G.S. 110-91(9); Child Care Rule 10A NCAC 09 .2318) -Incident reports must be completed each time a child is injured, it must include all the information required in rule, and it must be signed by the parent and/or maintained in the child's file. An Incident Report that was completed September 11, 2025, did not include the child's last name, the person's signature that completed the Incident Report, and the report did not include First Aid Onsite, that was provided by the Assistant Director, Ms. Shaundra Garris. According to Ms. Bryan, the parent refused to sign the incident report and the child received medical treatment. Medical documents were not provided to the center; parent refused to provide the medical documents. -The indoor equipment and furnishings were clean and were in good repair. Equipment and furnishings must be sturdy, stable and free of hazards. The gate latch to the two (2) year-old outdoor play area was broken; the gate was observed closed, but the gate latch needs to be secure (Child Care Rule 10A NCAC 09 .0601(c)). -The staff roster was complete in ABCMS. -There are four (4) staff members that will expire for CPR/First Aid Training in October 2025. Staff must have approved training in CPR/First Aid Verification of staff completion training from an approved training organization; verification must be in the staff file (Child Care Rule 10A NCAC 09 .1102(c)(d)). -Continue to review the Emergency Medical Care Plan annually (Child Care Rule 10A NCAC 09 .0802(a)). -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. •Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. • Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. -On June 26th, the North Carolina Rules Review Commission (RRC) approved the QRIS Modernization rules adopted by the NC Child Care Commission during their April meeting. The Division of Child Development and Early Education is preparing a summary of the rules, an online training module for Moodle, and an implementation plan. The implementation plan will allow time for administrators/operators to learn and understand the different pathways and the changes within our system. We encourage you to visit the QRIS Modernization page on the DCDEE website to learn more now. -The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition will begin soon with the following informational opportunities: • In August, we’ll provide a rule roll out module in the DCDEE e-learning Moodle platform and hosted webinars. • In September, child care consultants hosted in-person facility operator/administrator meetings within the counties served; provided additional guidance on the changes, the transition plan and timeline. • Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within twelve (12) months based on the pathway chosen. -Child Care Consultants from Mecklenburg County hosted training sessions on QRIS. Ms. Bryan stated that she attended a QRIS Session. The session will provide valuable insights on QRIS, also known as Pathways to the Stars, and is designed to help you understand and prepare for the transition to the new QRIS system. -Get Ready for the 3’s / QRIS: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Please review the information on the NCRLAP's website to become familiar with the new third edition. -An email was issued on July 31, 2025, regarding the Quality Every Day (QED) Program. Ms. Bryan stated the program is currently participating in QED. Quality Every Day (QED) is a quality initiative at Child Care Resources Inc., funded by Smart Start of Mecklenburg County. They are recruiting for the QED Program this year for those that may be interested in coaching and training for teachers and directors. There are different tracks for participation (Licensing renewal, Program start-up, staff-child interactions and director support); and there are new opportunities this year like updated ERS-3 trainings, Leadership college coursework for administrators and Communities of Practice for both Child Care Directors and Family Child Care providers. They still have opportunities for college coursework and stipends for coursework completion. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, 704-962-7854, Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, 704-594-0147, Michele.Sullivan@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 60004224 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 9/15/2025 Number Present: 115 Completed Date: 9/15/2025 Age: From 0 To 5 Total Minutes: 405 Time In: 09:30 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by the Director, Ms. Debbie Bryan, and I explained the purpose of the visit. Ms. Bryan assisted me with the visit. Your program currently operates with a four-star license, issued February 28, 2025. Your program was also monitored for compliance with implementing an approved curriculum (Creative Curriculum/Teaching Strategies) as required for all four and five star licensed facilities where four (4) year-old children are enrolled. The last annual compliance visit was conducted September 19, 2025. The sanitation inspection was completed August 20, 2025 with an “Approved” classification and eighteen (18) demerits. The last fire inspection was conducted October 2, 2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of September 14, 2025. The NC Secretary of State website was reviewed on September 15, 2025 and Premier NC Prosperity Point LLC was listed as current- active. You visited each indoor and outdoor space with me. In space 1 and space 2 children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. I observed children in space 3 and space 4 having supervised independent play; adequate supervision was provided. The children in space 5 were observed returning from outdoor play. Upon return to the classroom, I observed the children handwashing; adequate supervision was provided. I observed the children in space 6 and space 7 (Meck Pre-K) completing an art activity; adequate supervision was provided. The children in space 8 were observed having independent play; adequate supervision was provided. I observed the children in space 9 (Meck Pre-K) preparing for outdoor play, and I observed the children in space 10 (Meck Pre-K) having supervised independent play; adequate supervision was provided. Cots and a rest period were observed available for children enrolled in Meck Pre-K. I observed a Speech Therapist, Jennifer Blake, and Therapist Lauren Coleman, with Speech Works working independently with children; a current criminal qualifying letters were on file. The 2025 Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers was provided after the visit. The following program requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, Summary of NC Law, Menu, Daily Schedules and Activity Plans, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspections, Emergency Medical Care Plan, Safe Sleep Poster/Policy, and Incident Log; a violation was cited for an Incident Report. Children's emergency medication reviewed and compliance was met. Children’s allergies/food preference were posted; last updated September 2025. Ten (10) percent of children's files were reviewed. The staff and training worksheet was used to review staff files. The center has three (3) new staff, and the new staff files were reviewed; compliance was met. A veteran staff file was reviewed; compliance was met. The center roster was complete in Automated Background Check Management System (ABCMS). The outdoor play area was monitored. A violation was cited for a gate latch. The center does not provide transportation, and the Safe Delivery Statement was posted. The Emergency Preparedness and Response Plan was reviewed; last updated May 7, 2025. The facility has accommodations to evacuate the children from the facility in an emergency. Three (3) violations were cited. Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. The gate latch to the two (2) year-old outdoor play area was broken. .0601(c) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An Incident Report that was completed on September 11, 2025, did not include all the required information in rule; the report did not include the child's last name, the report was not signed by the person completing it; did not include Medical Treatment Received: First Aid Onsite (ice pack provided). .0802 (e) 1328 Children's records were not made available for review. A child is space 1 record was not available for review. G.S. 110-91(9) The Notice of Administrative Action (Written Reprimand) was observed posted in the foyer; to be posted for three (3) months. -The center previously confirmed on June 17, 2025, that the notice was received, and the center posted the notice. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 29, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -All children's files must be available for review (G.S. 110-91(9); Child Care Rule 10A NCAC 09 .2318) -Incident reports must be completed each time a child is injured, it must include all the information required in rule, and it must be signed by the parent and/or maintained in the child's file. An Incident Report that was completed September 11, 2025, did not include the child's last name, the person's signature that completed the Incident Report, and the report did not include First Aid Onsite, that was provided by the Assistant Director, Ms. Shaundra Garris. According to Ms. Bryan, the parent refused to sign the incident report and the child received medical treatment. Medical documents were not provided to the center; parent refused to provide the medical documents. -The indoor equipment and furnishings were clean and were in good repair. Equipment and furnishings must be sturdy, stable and free of hazards. The gate latch to the two (2) year-old outdoor play area was broken; the gate was observed closed, but the gate latch needs to be secure (Child Care Rule 10A NCAC 09 .0601(c)). -The staff roster was complete in ABCMS. -There are four (4) staff members that will expire for CPR/First Aid Training in October 2025. Staff must have approved training in CPR/First Aid Verification of staff completion training from an approved training organization; verification must be in the staff file (Child Care Rule 10A NCAC 09 .1102(c)(d)). -Continue to review the Emergency Medical Care Plan annually (Child Care Rule 10A NCAC 09 .0802(a)). -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. •Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. • Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. -On June 26th, the North Carolina Rules Review Commission (RRC) approved the QRIS Modernization rules adopted by the NC Child Care Commission during their April meeting. The Division of Child Development and Early Education is preparing a summary of the rules, an online training module for Moodle, and an implementation plan. The implementation plan will allow time for administrators/operators to learn and understand the different pathways and the changes within our system. We encourage you to visit the QRIS Modernization page on the DCDEE website to learn more now. -The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition will begin soon with the following informational opportunities: • In August, we’ll provide a rule roll out module in the DCDEE e-learning Moodle platform and hosted webinars. • In September, child care consultants hosted in-person facility operator/administrator meetings within the counties served; provided additional guidance on the changes, the transition plan and timeline. • Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within twelve (12) months based on the pathway chosen. -Child Care Consultants from Mecklenburg County hosted training sessions on QRIS. Ms. Bryan stated that she attended a QRIS Session. The session will provide valuable insights on QRIS, also known as Pathways to the Stars, and is designed to help you understand and prepare for the transition to the new QRIS system. -Get Ready for the 3’s / QRIS: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Please review the information on the NCRLAP's website to become familiar with the new third edition. -An email was issued on July 31, 2025, regarding the Quality Every Day (QED) Program. Ms. Bryan stated the program is currently participating in QED. Quality Every Day (QED) is a quality initiative at Child Care Resources Inc., funded by Smart Start of Mecklenburg County. They are recruiting for the QED Program this year for those that may be interested in coaching and training for teachers and directors. There are different tracks for participation (Licensing renewal, Program start-up, staff-child interactions and director support); and there are new opportunities this year like updated ERS-3 trainings, Leadership college coursework for administrators and Communities of Practice for both Child Care Directors and Family Child Care providers. They still have opportunities for college coursework and stipends for coursework completion. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, 704-962-7854, Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, 704-594-0147, Michele.Sullivan@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 60004224 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 9/15/2025 Number Present: 115 Completed Date: 9/15/2025 Age: From 0 To 5 Total Minutes: 405 Time In: 09:30 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by the Director, Ms. Debbie Bryan, and I explained the purpose of the visit. Ms. Bryan assisted me with the visit. Your program currently operates with a four-star license, issued February 28, 2025. Your program was also monitored for compliance with implementing an approved curriculum (Creative Curriculum/Teaching Strategies) as required for all four and five star licensed facilities where four (4) year-old children are enrolled. The last annual compliance visit was conducted September 19, 2025. The sanitation inspection was completed August 20, 2025 with an “Approved” classification and eighteen (18) demerits. The last fire inspection was conducted October 2, 2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of September 14, 2025. The NC Secretary of State website was reviewed on September 15, 2025 and Premier NC Prosperity Point LLC was listed as current- active. You visited each indoor and outdoor space with me. In space 1 and space 2 children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. I observed children in space 3 and space 4 having supervised independent play; adequate supervision was provided. The children in space 5 were observed returning from outdoor play. Upon return to the classroom, I observed the children handwashing; adequate supervision was provided. I observed the children in space 6 and space 7 (Meck Pre-K) completing an art activity; adequate supervision was provided. The children in space 8 were observed having independent play; adequate supervision was provided. I observed the children in space 9 (Meck Pre-K) preparing for outdoor play, and I observed the children in space 10 (Meck Pre-K) having supervised independent play; adequate supervision was provided. Cots and a rest period were observed available for children enrolled in Meck Pre-K. I observed a Speech Therapist, Jennifer Blake, and Therapist Lauren Coleman, with Speech Works working independently with children; a current criminal qualifying letters were on file. The 2025 Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers was provided after the visit. The following program requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, Summary of NC Law, Menu, Daily Schedules and Activity Plans, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspections, Emergency Medical Care Plan, Safe Sleep Poster/Policy, and Incident Log; a violation was cited for an Incident Report. Children's emergency medication reviewed and compliance was met. Children’s allergies/food preference were posted; last updated September 2025. Ten (10) percent of children's files were reviewed. The staff and training worksheet was used to review staff files. The center has three (3) new staff, and the new staff files were reviewed; compliance was met. A veteran staff file was reviewed; compliance was met. The center roster was complete in Automated Background Check Management System (ABCMS). The outdoor play area was monitored. A violation was cited for a gate latch. The center does not provide transportation, and the Safe Delivery Statement was posted. The Emergency Preparedness and Response Plan was reviewed; last updated May 7, 2025. The facility has accommodations to evacuate the children from the facility in an emergency. Three (3) violations were cited. Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. The gate latch to the two (2) year-old outdoor play area was broken. .0601(c) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An Incident Report that was completed on September 11, 2025, did not include all the required information in rule; the report did not include the child's last name, the report was not signed by the person completing it; did not include Medical Treatment Received: First Aid Onsite (ice pack provided). .0802 (e) 1328 Children's records were not made available for review. A child is space 1 record was not available for review. G.S. 110-91(9) The Notice of Administrative Action (Written Reprimand) was observed posted in the foyer; to be posted for three (3) months. -The center previously confirmed on June 17, 2025, that the notice was received, and the center posted the notice. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 29, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -All children's files must be available for review (G.S. 110-91(9); Child Care Rule 10A NCAC 09 .2318) -Incident reports must be completed each time a child is injured, it must include all the information required in rule, and it must be signed by the parent and/or maintained in the child's file. An Incident Report that was completed September 11, 2025, did not include the child's last name, the person's signature that completed the Incident Report, and the report did not include First Aid Onsite, that was provided by the Assistant Director, Ms. Shaundra Garris. According to Ms. Bryan, the parent refused to sign the incident report and the child received medical treatment. Medical documents were not provided to the center; parent refused to provide the medical documents. -The indoor equipment and furnishings were clean and were in good repair. Equipment and furnishings must be sturdy, stable and free of hazards. The gate latch to the two (2) year-old outdoor play area was broken; the gate was observed closed, but the gate latch needs to be secure (Child Care Rule 10A NCAC 09 .0601(c)). -The staff roster was complete in ABCMS. -There are four (4) staff members that will expire for CPR/First Aid Training in October 2025. Staff must have approved training in CPR/First Aid Verification of staff completion training from an approved training organization; verification must be in the staff file (Child Care Rule 10A NCAC 09 .1102(c)(d)). -Continue to review the Emergency Medical Care Plan annually (Child Care Rule 10A NCAC 09 .0802(a)). -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. •Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. • Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. -On June 26th, the North Carolina Rules Review Commission (RRC) approved the QRIS Modernization rules adopted by the NC Child Care Commission during their April meeting. The Division of Child Development and Early Education is preparing a summary of the rules, an online training module for Moodle, and an implementation plan. The implementation plan will allow time for administrators/operators to learn and understand the different pathways and the changes within our system. We encourage you to visit the QRIS Modernization page on the DCDEE website to learn more now. -The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition will begin soon with the following informational opportunities: • In August, we’ll provide a rule roll out module in the DCDEE e-learning Moodle platform and hosted webinars. • In September, child care consultants hosted in-person facility operator/administrator meetings within the counties served; provided additional guidance on the changes, the transition plan and timeline. • Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within twelve (12) months based on the pathway chosen. -Child Care Consultants from Mecklenburg County hosted training sessions on QRIS. Ms. Bryan stated that she attended a QRIS Session. The session will provide valuable insights on QRIS, also known as Pathways to the Stars, and is designed to help you understand and prepare for the transition to the new QRIS system. -Get Ready for the 3’s / QRIS: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Please review the information on the NCRLAP's website to become familiar with the new third edition. -An email was issued on July 31, 2025, regarding the Quality Every Day (QED) Program. Ms. Bryan stated the program is currently participating in QED. Quality Every Day (QED) is a quality initiative at Child Care Resources Inc., funded by Smart Start of Mecklenburg County. They are recruiting for the QED Program this year for those that may be interested in coaching and training for teachers and directors. There are different tracks for participation (Licensing renewal, Program start-up, staff-child interactions and director support); and there are new opportunities this year like updated ERS-3 trainings, Leadership college coursework for administrators and Communities of Practice for both Child Care Directors and Family Child Care providers. They still have opportunities for college coursework and stipends for coursework completion. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, 704-962-7854, Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, 704-594-0147, Michele.Sullivan@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 60004224 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 9/15/2025 Number Present: 115 Completed Date: 9/15/2025 Age: From 0 To 5 Total Minutes: 405 Time In: 09:30 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by the Director, Ms. Debbie Bryan, and I explained the purpose of the visit. Ms. Bryan assisted me with the visit. Your program currently operates with a four-star license, issued February 28, 2025. Your program was also monitored for compliance with implementing an approved curriculum (Creative Curriculum/Teaching Strategies) as required for all four and five star licensed facilities where four (4) year-old children are enrolled. The last annual compliance visit was conducted September 19, 2025. The sanitation inspection was completed August 20, 2025 with an “Approved” classification and eighteen (18) demerits. The last fire inspection was conducted October 2, 2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of September 14, 2025. The NC Secretary of State website was reviewed on September 15, 2025 and Premier NC Prosperity Point LLC was listed as current- active. You visited each indoor and outdoor space with me. In space 1 and space 2 children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In addition, I observed safe sleep checks, the safe sleep policy and poster, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. I observed children in space 3 and space 4 having supervised independent play; adequate supervision was provided. The children in space 5 were observed returning from outdoor play. Upon return to the classroom, I observed the children handwashing; adequate supervision was provided. I observed the children in space 6 and space 7 (Meck Pre-K) completing an art activity; adequate supervision was provided. The children in space 8 were observed having independent play; adequate supervision was provided. I observed the children in space 9 (Meck Pre-K) preparing for outdoor play, and I observed the children in space 10 (Meck Pre-K) having supervised independent play; adequate supervision was provided. Cots and a rest period were observed available for children enrolled in Meck Pre-K. I observed a Speech Therapist, Jennifer Blake, and Therapist Lauren Coleman, with Speech Works working independently with children; a current criminal qualifying letters were on file. The 2025 Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers was provided after the visit. The following program requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, Summary of NC Law, Menu, Daily Schedules and Activity Plans, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspections, Emergency Medical Care Plan, Safe Sleep Poster/Policy, and Incident Log; a violation was cited for an Incident Report. Children's emergency medication reviewed and compliance was met. Children’s allergies/food preference were posted; last updated September 2025. Ten (10) percent of children's files were reviewed. The staff and training worksheet was used to review staff files. The center has three (3) new staff, and the new staff files were reviewed; compliance was met. A veteran staff file was reviewed; compliance was met. The center roster was complete in Automated Background Check Management System (ABCMS). The outdoor play area was monitored. A violation was cited for a gate latch. The center does not provide transportation, and the Safe Delivery Statement was posted. The Emergency Preparedness and Response Plan was reviewed; last updated May 7, 2025. The facility has accommodations to evacuate the children from the facility in an emergency. Three (3) violations were cited. Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. The gate latch to the two (2) year-old outdoor play area was broken. .0601(c) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An Incident Report that was completed on September 11, 2025, did not include all the required information in rule; the report did not include the child's last name, the report was not signed by the person completing it; did not include Medical Treatment Received: First Aid Onsite (ice pack provided). .0802 (e) 1328 Children's records were not made available for review. A child is space 1 record was not available for review. G.S. 110-91(9) The Notice of Administrative Action (Written Reprimand) was observed posted in the foyer; to be posted for three (3) months. -The center previously confirmed on June 17, 2025, that the notice was received, and the center posted the notice. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 29, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -All children's files must be available for review (G.S. 110-91(9); Child Care Rule 10A NCAC 09 .2318) -Incident reports must be completed each time a child is injured, it must include all the information required in rule, and it must be signed by the parent and/or maintained in the child's file. An Incident Report that was completed September 11, 2025, did not include the child's last name, the person's signature that completed the Incident Report, and the report did not include First Aid Onsite, that was provided by the Assistant Director, Ms. Shaundra Garris. According to Ms. Bryan, the parent refused to sign the incident report and the child received medical treatment. Medical documents were not provided to the center; parent refused to provide the medical documents. -The indoor equipment and furnishings were clean and were in good repair. Equipment and furnishings must be sturdy, stable and free of hazards. The gate latch to the two (2) year-old outdoor play area was broken; the gate was observed closed, but the gate latch needs to be secure (Child Care Rule 10A NCAC 09 .0601(c)). -The staff roster was complete in ABCMS. -There are four (4) staff members that will expire for CPR/First Aid Training in October 2025. Staff must have approved training in CPR/First Aid Verification of staff completion training from an approved training organization; verification must be in the staff file (Child Care Rule 10A NCAC 09 .1102(c)(d)). -Continue to review the Emergency Medical Care Plan annually (Child Care Rule 10A NCAC 09 .0802(a)). -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. •Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. • Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. -On June 26th, the North Carolina Rules Review Commission (RRC) approved the QRIS Modernization rules adopted by the NC Child Care Commission during their April meeting. The Division of Child Development and Early Education is preparing a summary of the rules, an online training module for Moodle, and an implementation plan. The implementation plan will allow time for administrators/operators to learn and understand the different pathways and the changes within our system. We encourage you to visit the QRIS Modernization page on the DCDEE website to learn more now. -The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition will begin soon with the following informational opportunities: • In August, we’ll provide a rule roll out module in the DCDEE e-learning Moodle platform and hosted webinars. • In September, child care consultants hosted in-person facility operator/administrator meetings within the counties served; provided additional guidance on the changes, the transition plan and timeline. • Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within twelve (12) months based on the pathway chosen. -Child Care Consultants from Mecklenburg County hosted training sessions on QRIS. Ms. Bryan stated that she attended a QRIS Session. The session will provide valuable insights on QRIS, also known as Pathways to the Stars, and is designed to help you understand and prepare for the transition to the new QRIS system. -Get Ready for the 3’s / QRIS: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Please review the information on the NCRLAP's website to become familiar with the new third edition. -An email was issued on July 31, 2025, regarding the Quality Every Day (QED) Program. Ms. Bryan stated the program is currently participating in QED. Quality Every Day (QED) is a quality initiative at Child Care Resources Inc., funded by Smart Start of Mecklenburg County. They are recruiting for the QED Program this year for those that may be interested in coaching and training for teachers and directors. There are different tracks for participation (Licensing renewal, Program start-up, staff-child interactions and director support); and there are new opportunities this year like updated ERS-3 trainings, Leadership college coursework for administrators and Communities of Practice for both Child Care Directors and Family Child Care providers. They still have opportunities for college coursework and stipends for coursework completion. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, 704-962-7854, Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, 704-594-0147, Michele.Sullivan@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0102 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 60004224 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 5/27/2025 Number Present: 117 Completed Date: 5/27/2025 Age: From 0 To 5 Total Minutes: 280 Time In: 09:40 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a Routine Unannounced visit. I was greeted by Assistant Director, Ms. Shaundra Garris, and I explained the purpose of the visit. The Director, Ms. Debbie Bryan, arrived during the visit. I completed a walkthrough of the center with Ms. Garris. In space 1 and space 2, I observed children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Infant children were observed having supervised "tummy-time." I observed safe sleep checks, the safe sleep policy, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. Diapering creams and diapering forms were reviewed and met compliance. In space 3 and space 4 I observed the children and staff having circle time. I observed the children in space 5 having supervised independent play. There was an Occupational Therapist, Madison Rogan, from Integration Station and an Occupational Student, Gabriel Garrigan, present in space 5 providing services. The children in space 6 were observed having outdoor time in the sheltered area of the outdoor play area. I observed the children in space 7 having free choice time, and I observed the children in space 8 having cirle time. I observed the children in space 9 having music and movement time (gross motor) and I observed the children in space 10 having free choice time. The facility is currently operating with a Four Star License issued on February 25, 2025, and the center has an eighteen-month compliance history score of ninety-two (92) percent prior to today’s visit. The last annual compliance visit was conducted September 19, 2024. Two (3) new staff have been hired; staff files were reviewed; a violation was cited. The following child care requirements were monitored and observed today using the Child Care Center Checklist and the 2025 Master Child Care Center Item Number Listing: Supervision: Each group of children were adequately supervised during the visit. Nurturing tones were heard when staff spoke with children. Staff/Child Ratio: The ratios were maintained during today’s visit. CPR: Staff was current with CPR. First Aid: Staff was current First Aid. ITS-SIDS: Staff are current with ITS-SIDS training. The Safe Sleep Policy was posted. The Safe Sleep Logs were documented. Special Training: Staff are continuing to complete required in-service training. CBC Qualification: Each staff member was current with CBC qualification. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: There are children with medication, and a violation was cited for a child's Permission to Administer Form. Children with allergies were posted. Storage of Hazardous Substances: I did not observe any hazardous substances that were accessible, they were observed stored properly during the visit. Storage of Medication: Medications were properly stored. General Safety: There were no safety concerns. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: Each group of children were observed in licensed approved space. Program Records: I reviewed all information required to be posted and found meeting compliance. The monthly fire drill and emergency drill and the quarterly drill (shelter-in-place) were reviewed; a violation was cited. The playground inspections were up to date; compliance was met. License Posted: The license was observed posted on the information board. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was completed February 5, 2025, with a "Superior" rating and thirteen (13) demerits. The Fire Inspection was completed and approved October 2, 2024 and was approved for day time care only; a violation was cited. Four (4) violations were cited. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The Fire Inspection Report was not submitted within one (1) week of the inspection. 10A NCAC 09 .0304(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. No medical report on file for staff (B.H.). 10A NCAC 09 .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place or lockdown drills were not practiced every three (3) months; were practiced October 28, 2024, February 25, 2025, and March 4, 2025; a drill should have been practiced January 2025. .0604(u);.0302(d)(8) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The parent did not sign and date the Permission to Administer Medication form for (W.T.). .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 10, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminder: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -Session Law 2024-34 Extension of Hold Harmless provisions: Star rated license reassessments for licensed child care providers will be conducted by provider request only, until the QRIS rulemaking process has been completed. The following Technical Assistance (TA) was provided: -Operators must schedule and obtain a fire inspection within twelve (12) months of the previous inspection, and the operator must submit the original approved report to DCDEE within one (1) week of the inspection visit on a form provided by the Division (Child Care Rule 10A NCAC 09 .0304(a)). -Child care centers must conduct a shelter-in-place or lockdown drill, as defined in 10A NCAC 09 .0102, at least every three (3) months, Child Care Rule.0302(d)(8). You must keep a record that includes the date of each drill, time of day, the length of time to reach the designated location and the signature of the person conducting the drill, Child Care Rule .0604(u). -Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director must have a medical report on file prior to employment that was signed by a health care professional. The medical report cannot be older than twelve (12) months (Child Care Rule 10A 09 .0701(a)). -The Safe Sleep Charts are documented and maintained on I-pads; reviewed documentation on the tablets. Ms. Bryan provided a printed copy for review during the visit. Caregivers must continue to document compliance with visually checking on sleeping infants aged twelve (12) months or younger and/maintain documentation for a minimum of one (1) month (Child Care Rule 10A NCAC 09 .0606(g)). -The parent's standing authorization to administer prescription or over-the-counter medication to a child, when needed, for chronic medication conditions, the authorization shall be in writing and shall contain: the child's name, the medical conditions or allergic reactions, the names of the authorized medication, the criteria for the administration of the medication, the amount and frequency of the dosage, the manner in which the medication shall be administered; the signature of the parent, the date the authorization was signed by the parent; the date the authorization was signed by the parent, and the length of time the authorization is valid, if less than six (6) months. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. •Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. • Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. -Ms. Bryan complete the facility's roster in ABCMS, and the roster was verified in ABCMS during the visit. -The Carolina Water for Kids program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once; water was tested May 25, 2024. -Child Care Health Consultants (CCHCs) are trained health professionals with education and experience in both child and community health and early care and education. CCHCs work with early care and education programs to assess, plan, implement, and evaluate strategies to achieve high quality, safe and healthy child care environments. You can contact CCHC Supervisor, Lawanda Combo, for an assigned CCHC: Mecklenburg County Health Department, 980-314-9342, lawanda.combo@mecklenburgcountync.gov. -NCID Password Rule to Change If you have a MYNCID or NCID account, you may have received an email this week announcing changes to the password rules. As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. The change will affect state agency staff as well as external users like citizens, providers, and state and local county staff. There is no action you need to take on or before February 23rd. When you change your current password after Feb. 23, however, you will be required to create a new one that must: • Be a minimum of 14 characters. • Consist of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. • Passwords shall not contain number or character substitutes to create dictionary words (e.g., d33psl33p for deep sleep). Strong, unique passwords – along with practicing mindful cybersecurity practices – are key components to protecting your devices and personal information at home and at work. -The facility's email address noted in Regulatory was verified as correct; provider confirmed that she is receiving emails. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 60004224 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 5/27/2025 Number Present: 117 Completed Date: 5/27/2025 Age: From 0 To 5 Total Minutes: 280 Time In: 09:40 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a Routine Unannounced visit. I was greeted by Assistant Director, Ms. Shaundra Garris, and I explained the purpose of the visit. The Director, Ms. Debbie Bryan, arrived during the visit. I completed a walkthrough of the center with Ms. Garris. In space 1 and space 2, I observed children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Infant children were observed having supervised "tummy-time." I observed safe sleep checks, the safe sleep policy, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. Diapering creams and diapering forms were reviewed and met compliance. In space 3 and space 4 I observed the children and staff having circle time. I observed the children in space 5 having supervised independent play. There was an Occupational Therapist, Madison Rogan, from Integration Station and an Occupational Student, Gabriel Garrigan, present in space 5 providing services. The children in space 6 were observed having outdoor time in the sheltered area of the outdoor play area. I observed the children in space 7 having free choice time, and I observed the children in space 8 having cirle time. I observed the children in space 9 having music and movement time (gross motor) and I observed the children in space 10 having free choice time. The facility is currently operating with a Four Star License issued on February 25, 2025, and the center has an eighteen-month compliance history score of ninety-two (92) percent prior to today’s visit. The last annual compliance visit was conducted September 19, 2024. Two (3) new staff have been hired; staff files were reviewed; a violation was cited. The following child care requirements were monitored and observed today using the Child Care Center Checklist and the 2025 Master Child Care Center Item Number Listing: Supervision: Each group of children were adequately supervised during the visit. Nurturing tones were heard when staff spoke with children. Staff/Child Ratio: The ratios were maintained during today’s visit. CPR: Staff was current with CPR. First Aid: Staff was current First Aid. ITS-SIDS: Staff are current with ITS-SIDS training. The Safe Sleep Policy was posted. The Safe Sleep Logs were documented. Special Training: Staff are continuing to complete required in-service training. CBC Qualification: Each staff member was current with CBC qualification. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: There are children with medication, and a violation was cited for a child's Permission to Administer Form. Children with allergies were posted. Storage of Hazardous Substances: I did not observe any hazardous substances that were accessible, they were observed stored properly during the visit. Storage of Medication: Medications were properly stored. General Safety: There were no safety concerns. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: Each group of children were observed in licensed approved space. Program Records: I reviewed all information required to be posted and found meeting compliance. The monthly fire drill and emergency drill and the quarterly drill (shelter-in-place) were reviewed; a violation was cited. The playground inspections were up to date; compliance was met. License Posted: The license was observed posted on the information board. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was completed February 5, 2025, with a "Superior" rating and thirteen (13) demerits. The Fire Inspection was completed and approved October 2, 2024 and was approved for day time care only; a violation was cited. Four (4) violations were cited. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The Fire Inspection Report was not submitted within one (1) week of the inspection. 10A NCAC 09 .0304(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. No medical report on file for staff (B.H.). 10A NCAC 09 .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place or lockdown drills were not practiced every three (3) months; were practiced October 28, 2024, February 25, 2025, and March 4, 2025; a drill should have been practiced January 2025. .0604(u);.0302(d)(8) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The parent did not sign and date the Permission to Administer Medication form for (W.T.). .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 10, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminder: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -Session Law 2024-34 Extension of Hold Harmless provisions: Star rated license reassessments for licensed child care providers will be conducted by provider request only, until the QRIS rulemaking process has been completed. The following Technical Assistance (TA) was provided: -Operators must schedule and obtain a fire inspection within twelve (12) months of the previous inspection, and the operator must submit the original approved report to DCDEE within one (1) week of the inspection visit on a form provided by the Division (Child Care Rule 10A NCAC 09 .0304(a)). -Child care centers must conduct a shelter-in-place or lockdown drill, as defined in 10A NCAC 09 .0102, at least every three (3) months, Child Care Rule.0302(d)(8). You must keep a record that includes the date of each drill, time of day, the length of time to reach the designated location and the signature of the person conducting the drill, Child Care Rule .0604(u). -Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director must have a medical report on file prior to employment that was signed by a health care professional. The medical report cannot be older than twelve (12) months (Child Care Rule 10A 09 .0701(a)). -The Safe Sleep Charts are documented and maintained on I-pads; reviewed documentation on the tablets. Ms. Bryan provided a printed copy for review during the visit. Caregivers must continue to document compliance with visually checking on sleeping infants aged twelve (12) months or younger and/maintain documentation for a minimum of one (1) month (Child Care Rule 10A NCAC 09 .0606(g)). -The parent's standing authorization to administer prescription or over-the-counter medication to a child, when needed, for chronic medication conditions, the authorization shall be in writing and shall contain: the child's name, the medical conditions or allergic reactions, the names of the authorized medication, the criteria for the administration of the medication, the amount and frequency of the dosage, the manner in which the medication shall be administered; the signature of the parent, the date the authorization was signed by the parent; the date the authorization was signed by the parent, and the length of time the authorization is valid, if less than six (6) months. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. •Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. • Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. -Ms. Bryan complete the facility's roster in ABCMS, and the roster was verified in ABCMS during the visit. -The Carolina Water for Kids program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once; water was tested May 25, 2024. -Child Care Health Consultants (CCHCs) are trained health professionals with education and experience in both child and community health and early care and education. CCHCs work with early care and education programs to assess, plan, implement, and evaluate strategies to achieve high quality, safe and healthy child care environments. You can contact CCHC Supervisor, Lawanda Combo, for an assigned CCHC: Mecklenburg County Health Department, 980-314-9342, lawanda.combo@mecklenburgcountync.gov. -NCID Password Rule to Change If you have a MYNCID or NCID account, you may have received an email this week announcing changes to the password rules. As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. The change will affect state agency staff as well as external users like citizens, providers, and state and local county staff. There is no action you need to take on or before February 23rd. When you change your current password after Feb. 23, however, you will be required to create a new one that must: • Be a minimum of 14 characters. • Consist of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. • Passwords shall not contain number or character substitutes to create dictionary words (e.g., d33psl33p for deep sleep). Strong, unique passwords – along with practicing mindful cybersecurity practices – are key components to protecting your devices and personal information at home and at work. -The facility's email address noted in Regulatory was verified as correct; provider confirmed that she is receiving emails. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0606 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 60004224 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 5/27/2025 Number Present: 117 Completed Date: 5/27/2025 Age: From 0 To 5 Total Minutes: 280 Time In: 09:40 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a Routine Unannounced visit. I was greeted by Assistant Director, Ms. Shaundra Garris, and I explained the purpose of the visit. The Director, Ms. Debbie Bryan, arrived during the visit. I completed a walkthrough of the center with Ms. Garris. In space 1 and space 2, I observed children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Infant children were observed having supervised "tummy-time." I observed safe sleep checks, the safe sleep policy, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. Diapering creams and diapering forms were reviewed and met compliance. In space 3 and space 4 I observed the children and staff having circle time. I observed the children in space 5 having supervised independent play. There was an Occupational Therapist, Madison Rogan, from Integration Station and an Occupational Student, Gabriel Garrigan, present in space 5 providing services. The children in space 6 were observed having outdoor time in the sheltered area of the outdoor play area. I observed the children in space 7 having free choice time, and I observed the children in space 8 having cirle time. I observed the children in space 9 having music and movement time (gross motor) and I observed the children in space 10 having free choice time. The facility is currently operating with a Four Star License issued on February 25, 2025, and the center has an eighteen-month compliance history score of ninety-two (92) percent prior to today’s visit. The last annual compliance visit was conducted September 19, 2024. Two (3) new staff have been hired; staff files were reviewed; a violation was cited. The following child care requirements were monitored and observed today using the Child Care Center Checklist and the 2025 Master Child Care Center Item Number Listing: Supervision: Each group of children were adequately supervised during the visit. Nurturing tones were heard when staff spoke with children. Staff/Child Ratio: The ratios were maintained during today’s visit. CPR: Staff was current with CPR. First Aid: Staff was current First Aid. ITS-SIDS: Staff are current with ITS-SIDS training. The Safe Sleep Policy was posted. The Safe Sleep Logs were documented. Special Training: Staff are continuing to complete required in-service training. CBC Qualification: Each staff member was current with CBC qualification. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: There are children with medication, and a violation was cited for a child's Permission to Administer Form. Children with allergies were posted. Storage of Hazardous Substances: I did not observe any hazardous substances that were accessible, they were observed stored properly during the visit. Storage of Medication: Medications were properly stored. General Safety: There were no safety concerns. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: Each group of children were observed in licensed approved space. Program Records: I reviewed all information required to be posted and found meeting compliance. The monthly fire drill and emergency drill and the quarterly drill (shelter-in-place) were reviewed; a violation was cited. The playground inspections were up to date; compliance was met. License Posted: The license was observed posted on the information board. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was completed February 5, 2025, with a "Superior" rating and thirteen (13) demerits. The Fire Inspection was completed and approved October 2, 2024 and was approved for day time care only; a violation was cited. Four (4) violations were cited. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The Fire Inspection Report was not submitted within one (1) week of the inspection. 10A NCAC 09 .0304(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. No medical report on file for staff (B.H.). 10A NCAC 09 .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place or lockdown drills were not practiced every three (3) months; were practiced October 28, 2024, February 25, 2025, and March 4, 2025; a drill should have been practiced January 2025. .0604(u);.0302(d)(8) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The parent did not sign and date the Permission to Administer Medication form for (W.T.). .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 10, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminder: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -Session Law 2024-34 Extension of Hold Harmless provisions: Star rated license reassessments for licensed child care providers will be conducted by provider request only, until the QRIS rulemaking process has been completed. The following Technical Assistance (TA) was provided: -Operators must schedule and obtain a fire inspection within twelve (12) months of the previous inspection, and the operator must submit the original approved report to DCDEE within one (1) week of the inspection visit on a form provided by the Division (Child Care Rule 10A NCAC 09 .0304(a)). -Child care centers must conduct a shelter-in-place or lockdown drill, as defined in 10A NCAC 09 .0102, at least every three (3) months, Child Care Rule.0302(d)(8). You must keep a record that includes the date of each drill, time of day, the length of time to reach the designated location and the signature of the person conducting the drill, Child Care Rule .0604(u). -Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director must have a medical report on file prior to employment that was signed by a health care professional. The medical report cannot be older than twelve (12) months (Child Care Rule 10A 09 .0701(a)). -The Safe Sleep Charts are documented and maintained on I-pads; reviewed documentation on the tablets. Ms. Bryan provided a printed copy for review during the visit. Caregivers must continue to document compliance with visually checking on sleeping infants aged twelve (12) months or younger and/maintain documentation for a minimum of one (1) month (Child Care Rule 10A NCAC 09 .0606(g)). -The parent's standing authorization to administer prescription or over-the-counter medication to a child, when needed, for chronic medication conditions, the authorization shall be in writing and shall contain: the child's name, the medical conditions or allergic reactions, the names of the authorized medication, the criteria for the administration of the medication, the amount and frequency of the dosage, the manner in which the medication shall be administered; the signature of the parent, the date the authorization was signed by the parent; the date the authorization was signed by the parent, and the length of time the authorization is valid, if less than six (6) months. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. •Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. • Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. -Ms. Bryan complete the facility's roster in ABCMS, and the roster was verified in ABCMS during the visit. -The Carolina Water for Kids program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once; water was tested May 25, 2024. -Child Care Health Consultants (CCHCs) are trained health professionals with education and experience in both child and community health and early care and education. CCHCs work with early care and education programs to assess, plan, implement, and evaluate strategies to achieve high quality, safe and healthy child care environments. You can contact CCHC Supervisor, Lawanda Combo, for an assigned CCHC: Mecklenburg County Health Department, 980-314-9342, lawanda.combo@mecklenburgcountync.gov. -NCID Password Rule to Change If you have a MYNCID or NCID account, you may have received an email this week announcing changes to the password rules. As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. The change will affect state agency staff as well as external users like citizens, providers, and state and local county staff. There is no action you need to take on or before February 23rd. When you change your current password after Feb. 23, however, you will be required to create a new one that must: • Be a minimum of 14 characters. • Consist of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. • Passwords shall not contain number or character substitutes to create dictionary words (e.g., d33psl33p for deep sleep). Strong, unique passwords – along with practicing mindful cybersecurity practices – are key components to protecting your devices and personal information at home and at work. -The facility's email address noted in Regulatory was verified as correct; provider confirmed that she is receiving emails. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 60004224 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 5/27/2025 Number Present: 117 Completed Date: 5/27/2025 Age: From 0 To 5 Total Minutes: 280 Time In: 09:40 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a Routine Unannounced visit. I was greeted by Assistant Director, Ms. Shaundra Garris, and I explained the purpose of the visit. The Director, Ms. Debbie Bryan, arrived during the visit. I completed a walkthrough of the center with Ms. Garris. In space 1 and space 2, I observed children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Infant children were observed having supervised "tummy-time." I observed safe sleep checks, the safe sleep policy, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. Diapering creams and diapering forms were reviewed and met compliance. In space 3 and space 4 I observed the children and staff having circle time. I observed the children in space 5 having supervised independent play. There was an Occupational Therapist, Madison Rogan, from Integration Station and an Occupational Student, Gabriel Garrigan, present in space 5 providing services. The children in space 6 were observed having outdoor time in the sheltered area of the outdoor play area. I observed the children in space 7 having free choice time, and I observed the children in space 8 having cirle time. I observed the children in space 9 having music and movement time (gross motor) and I observed the children in space 10 having free choice time. The facility is currently operating with a Four Star License issued on February 25, 2025, and the center has an eighteen-month compliance history score of ninety-two (92) percent prior to today’s visit. The last annual compliance visit was conducted September 19, 2024. Two (3) new staff have been hired; staff files were reviewed; a violation was cited. The following child care requirements were monitored and observed today using the Child Care Center Checklist and the 2025 Master Child Care Center Item Number Listing: Supervision: Each group of children were adequately supervised during the visit. Nurturing tones were heard when staff spoke with children. Staff/Child Ratio: The ratios were maintained during today’s visit. CPR: Staff was current with CPR. First Aid: Staff was current First Aid. ITS-SIDS: Staff are current with ITS-SIDS training. The Safe Sleep Policy was posted. The Safe Sleep Logs were documented. Special Training: Staff are continuing to complete required in-service training. CBC Qualification: Each staff member was current with CBC qualification. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: There are children with medication, and a violation was cited for a child's Permission to Administer Form. Children with allergies were posted. Storage of Hazardous Substances: I did not observe any hazardous substances that were accessible, they were observed stored properly during the visit. Storage of Medication: Medications were properly stored. General Safety: There were no safety concerns. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: Each group of children were observed in licensed approved space. Program Records: I reviewed all information required to be posted and found meeting compliance. The monthly fire drill and emergency drill and the quarterly drill (shelter-in-place) were reviewed; a violation was cited. The playground inspections were up to date; compliance was met. License Posted: The license was observed posted on the information board. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was completed February 5, 2025, with a "Superior" rating and thirteen (13) demerits. The Fire Inspection was completed and approved October 2, 2024 and was approved for day time care only; a violation was cited. Four (4) violations were cited. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The Fire Inspection Report was not submitted within one (1) week of the inspection. 10A NCAC 09 .0304(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. No medical report on file for staff (B.H.). 10A NCAC 09 .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place or lockdown drills were not practiced every three (3) months; were practiced October 28, 2024, February 25, 2025, and March 4, 2025; a drill should have been practiced January 2025. .0604(u);.0302(d)(8) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The parent did not sign and date the Permission to Administer Medication form for (W.T.). .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 10, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminder: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -Session Law 2024-34 Extension of Hold Harmless provisions: Star rated license reassessments for licensed child care providers will be conducted by provider request only, until the QRIS rulemaking process has been completed. The following Technical Assistance (TA) was provided: -Operators must schedule and obtain a fire inspection within twelve (12) months of the previous inspection, and the operator must submit the original approved report to DCDEE within one (1) week of the inspection visit on a form provided by the Division (Child Care Rule 10A NCAC 09 .0304(a)). -Child care centers must conduct a shelter-in-place or lockdown drill, as defined in 10A NCAC 09 .0102, at least every three (3) months, Child Care Rule.0302(d)(8). You must keep a record that includes the date of each drill, time of day, the length of time to reach the designated location and the signature of the person conducting the drill, Child Care Rule .0604(u). -Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director must have a medical report on file prior to employment that was signed by a health care professional. The medical report cannot be older than twelve (12) months (Child Care Rule 10A 09 .0701(a)). -The Safe Sleep Charts are documented and maintained on I-pads; reviewed documentation on the tablets. Ms. Bryan provided a printed copy for review during the visit. Caregivers must continue to document compliance with visually checking on sleeping infants aged twelve (12) months or younger and/maintain documentation for a minimum of one (1) month (Child Care Rule 10A NCAC 09 .0606(g)). -The parent's standing authorization to administer prescription or over-the-counter medication to a child, when needed, for chronic medication conditions, the authorization shall be in writing and shall contain: the child's name, the medical conditions or allergic reactions, the names of the authorized medication, the criteria for the administration of the medication, the amount and frequency of the dosage, the manner in which the medication shall be administered; the signature of the parent, the date the authorization was signed by the parent; the date the authorization was signed by the parent, and the length of time the authorization is valid, if less than six (6) months. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. •Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. • Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. -Ms. Bryan complete the facility's roster in ABCMS, and the roster was verified in ABCMS during the visit. -The Carolina Water for Kids program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once; water was tested May 25, 2024. -Child Care Health Consultants (CCHCs) are trained health professionals with education and experience in both child and community health and early care and education. CCHCs work with early care and education programs to assess, plan, implement, and evaluate strategies to achieve high quality, safe and healthy child care environments. You can contact CCHC Supervisor, Lawanda Combo, for an assigned CCHC: Mecklenburg County Health Department, 980-314-9342, lawanda.combo@mecklenburgcountync.gov. -NCID Password Rule to Change If you have a MYNCID or NCID account, you may have received an email this week announcing changes to the password rules. As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. The change will affect state agency staff as well as external users like citizens, providers, and state and local county staff. There is no action you need to take on or before February 23rd. When you change your current password after Feb. 23, however, you will be required to create a new one that must: • Be a minimum of 14 characters. • Consist of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. • Passwords shall not contain number or character substitutes to create dictionary words (e.g., d33psl33p for deep sleep). Strong, unique passwords – along with practicing mindful cybersecurity practices – are key components to protecting your devices and personal information at home and at work. -The facility's email address noted in Regulatory was verified as correct; provider confirmed that she is receiving emails. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1725 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 60004224 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 5/27/2025 Number Present: 117 Completed Date: 5/27/2025 Age: From 0 To 5 Total Minutes: 280 Time In: 09:40 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a Routine Unannounced visit. I was greeted by Assistant Director, Ms. Shaundra Garris, and I explained the purpose of the visit. The Director, Ms. Debbie Bryan, arrived during the visit. I completed a walkthrough of the center with Ms. Garris. In space 1 and space 2, I observed children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Infant children were observed having supervised "tummy-time." I observed safe sleep checks, the safe sleep policy, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. Diapering creams and diapering forms were reviewed and met compliance. In space 3 and space 4 I observed the children and staff having circle time. I observed the children in space 5 having supervised independent play. There was an Occupational Therapist, Madison Rogan, from Integration Station and an Occupational Student, Gabriel Garrigan, present in space 5 providing services. The children in space 6 were observed having outdoor time in the sheltered area of the outdoor play area. I observed the children in space 7 having free choice time, and I observed the children in space 8 having cirle time. I observed the children in space 9 having music and movement time (gross motor) and I observed the children in space 10 having free choice time. The facility is currently operating with a Four Star License issued on February 25, 2025, and the center has an eighteen-month compliance history score of ninety-two (92) percent prior to today’s visit. The last annual compliance visit was conducted September 19, 2024. Two (3) new staff have been hired; staff files were reviewed; a violation was cited. The following child care requirements were monitored and observed today using the Child Care Center Checklist and the 2025 Master Child Care Center Item Number Listing: Supervision: Each group of children were adequately supervised during the visit. Nurturing tones were heard when staff spoke with children. Staff/Child Ratio: The ratios were maintained during today’s visit. CPR: Staff was current with CPR. First Aid: Staff was current First Aid. ITS-SIDS: Staff are current with ITS-SIDS training. The Safe Sleep Policy was posted. The Safe Sleep Logs were documented. Special Training: Staff are continuing to complete required in-service training. CBC Qualification: Each staff member was current with CBC qualification. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: There are children with medication, and a violation was cited for a child's Permission to Administer Form. Children with allergies were posted. Storage of Hazardous Substances: I did not observe any hazardous substances that were accessible, they were observed stored properly during the visit. Storage of Medication: Medications were properly stored. General Safety: There were no safety concerns. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: Each group of children were observed in licensed approved space. Program Records: I reviewed all information required to be posted and found meeting compliance. The monthly fire drill and emergency drill and the quarterly drill (shelter-in-place) were reviewed; a violation was cited. The playground inspections were up to date; compliance was met. License Posted: The license was observed posted on the information board. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was completed February 5, 2025, with a "Superior" rating and thirteen (13) demerits. The Fire Inspection was completed and approved October 2, 2024 and was approved for day time care only; a violation was cited. Four (4) violations were cited. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The Fire Inspection Report was not submitted within one (1) week of the inspection. 10A NCAC 09 .0304(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. No medical report on file for staff (B.H.). 10A NCAC 09 .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place or lockdown drills were not practiced every three (3) months; were practiced October 28, 2024, February 25, 2025, and March 4, 2025; a drill should have been practiced January 2025. .0604(u);.0302(d)(8) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The parent did not sign and date the Permission to Administer Medication form for (W.T.). .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 10, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminder: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -Session Law 2024-34 Extension of Hold Harmless provisions: Star rated license reassessments for licensed child care providers will be conducted by provider request only, until the QRIS rulemaking process has been completed. The following Technical Assistance (TA) was provided: -Operators must schedule and obtain a fire inspection within twelve (12) months of the previous inspection, and the operator must submit the original approved report to DCDEE within one (1) week of the inspection visit on a form provided by the Division (Child Care Rule 10A NCAC 09 .0304(a)). -Child care centers must conduct a shelter-in-place or lockdown drill, as defined in 10A NCAC 09 .0102, at least every three (3) months, Child Care Rule.0302(d)(8). You must keep a record that includes the date of each drill, time of day, the length of time to reach the designated location and the signature of the person conducting the drill, Child Care Rule .0604(u). -Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director must have a medical report on file prior to employment that was signed by a health care professional. The medical report cannot be older than twelve (12) months (Child Care Rule 10A 09 .0701(a)). -The Safe Sleep Charts are documented and maintained on I-pads; reviewed documentation on the tablets. Ms. Bryan provided a printed copy for review during the visit. Caregivers must continue to document compliance with visually checking on sleeping infants aged twelve (12) months or younger and/maintain documentation for a minimum of one (1) month (Child Care Rule 10A NCAC 09 .0606(g)). -The parent's standing authorization to administer prescription or over-the-counter medication to a child, when needed, for chronic medication conditions, the authorization shall be in writing and shall contain: the child's name, the medical conditions or allergic reactions, the names of the authorized medication, the criteria for the administration of the medication, the amount and frequency of the dosage, the manner in which the medication shall be administered; the signature of the parent, the date the authorization was signed by the parent; the date the authorization was signed by the parent, and the length of time the authorization is valid, if less than six (6) months. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. •Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. • Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. -Ms. Bryan complete the facility's roster in ABCMS, and the roster was verified in ABCMS during the visit. -The Carolina Water for Kids program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once; water was tested May 25, 2024. -Child Care Health Consultants (CCHCs) are trained health professionals with education and experience in both child and community health and early care and education. CCHCs work with early care and education programs to assess, plan, implement, and evaluate strategies to achieve high quality, safe and healthy child care environments. You can contact CCHC Supervisor, Lawanda Combo, for an assigned CCHC: Mecklenburg County Health Department, 980-314-9342, lawanda.combo@mecklenburgcountync.gov. -NCID Password Rule to Change If you have a MYNCID or NCID account, you may have received an email this week announcing changes to the password rules. As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. The change will affect state agency staff as well as external users like citizens, providers, and state and local county staff. There is no action you need to take on or before February 23rd. When you change your current password after Feb. 23, however, you will be required to create a new one that must: • Be a minimum of 14 characters. • Consist of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. • Passwords shall not contain number or character substitutes to create dictionary words (e.g., d33psl33p for deep sleep). Strong, unique passwords – along with practicing mindful cybersecurity practices – are key components to protecting your devices and personal information at home and at work. -The facility's email address noted in Regulatory was verified as correct; provider confirmed that she is receiving emails. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 60004224 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 5/27/2025 Number Present: 117 Completed Date: 5/27/2025 Age: From 0 To 5 Total Minutes: 280 Time In: 09:40 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a Routine Unannounced visit. I was greeted by Assistant Director, Ms. Shaundra Garris, and I explained the purpose of the visit. The Director, Ms. Debbie Bryan, arrived during the visit. I completed a walkthrough of the center with Ms. Garris. In space 1 and space 2, I observed children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Infant children were observed having supervised "tummy-time." I observed safe sleep checks, the safe sleep policy, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. Diapering creams and diapering forms were reviewed and met compliance. In space 3 and space 4 I observed the children and staff having circle time. I observed the children in space 5 having supervised independent play. There was an Occupational Therapist, Madison Rogan, from Integration Station and an Occupational Student, Gabriel Garrigan, present in space 5 providing services. The children in space 6 were observed having outdoor time in the sheltered area of the outdoor play area. I observed the children in space 7 having free choice time, and I observed the children in space 8 having cirle time. I observed the children in space 9 having music and movement time (gross motor) and I observed the children in space 10 having free choice time. The facility is currently operating with a Four Star License issued on February 25, 2025, and the center has an eighteen-month compliance history score of ninety-two (92) percent prior to today’s visit. The last annual compliance visit was conducted September 19, 2024. Two (3) new staff have been hired; staff files were reviewed; a violation was cited. The following child care requirements were monitored and observed today using the Child Care Center Checklist and the 2025 Master Child Care Center Item Number Listing: Supervision: Each group of children were adequately supervised during the visit. Nurturing tones were heard when staff spoke with children. Staff/Child Ratio: The ratios were maintained during today’s visit. CPR: Staff was current with CPR. First Aid: Staff was current First Aid. ITS-SIDS: Staff are current with ITS-SIDS training. The Safe Sleep Policy was posted. The Safe Sleep Logs were documented. Special Training: Staff are continuing to complete required in-service training. CBC Qualification: Each staff member was current with CBC qualification. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: There are children with medication, and a violation was cited for a child's Permission to Administer Form. Children with allergies were posted. Storage of Hazardous Substances: I did not observe any hazardous substances that were accessible, they were observed stored properly during the visit. Storage of Medication: Medications were properly stored. General Safety: There were no safety concerns. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: Each group of children were observed in licensed approved space. Program Records: I reviewed all information required to be posted and found meeting compliance. The monthly fire drill and emergency drill and the quarterly drill (shelter-in-place) were reviewed; a violation was cited. The playground inspections were up to date; compliance was met. License Posted: The license was observed posted on the information board. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was completed February 5, 2025, with a "Superior" rating and thirteen (13) demerits. The Fire Inspection was completed and approved October 2, 2024 and was approved for day time care only; a violation was cited. Four (4) violations were cited. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The Fire Inspection Report was not submitted within one (1) week of the inspection. 10A NCAC 09 .0304(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. No medical report on file for staff (B.H.). 10A NCAC 09 .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place or lockdown drills were not practiced every three (3) months; were practiced October 28, 2024, February 25, 2025, and March 4, 2025; a drill should have been practiced January 2025. .0604(u);.0302(d)(8) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The parent did not sign and date the Permission to Administer Medication form for (W.T.). .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 10, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminder: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -Session Law 2024-34 Extension of Hold Harmless provisions: Star rated license reassessments for licensed child care providers will be conducted by provider request only, until the QRIS rulemaking process has been completed. The following Technical Assistance (TA) was provided: -Operators must schedule and obtain a fire inspection within twelve (12) months of the previous inspection, and the operator must submit the original approved report to DCDEE within one (1) week of the inspection visit on a form provided by the Division (Child Care Rule 10A NCAC 09 .0304(a)). -Child care centers must conduct a shelter-in-place or lockdown drill, as defined in 10A NCAC 09 .0102, at least every three (3) months, Child Care Rule.0302(d)(8). You must keep a record that includes the date of each drill, time of day, the length of time to reach the designated location and the signature of the person conducting the drill, Child Care Rule .0604(u). -Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director must have a medical report on file prior to employment that was signed by a health care professional. The medical report cannot be older than twelve (12) months (Child Care Rule 10A 09 .0701(a)). -The Safe Sleep Charts are documented and maintained on I-pads; reviewed documentation on the tablets. Ms. Bryan provided a printed copy for review during the visit. Caregivers must continue to document compliance with visually checking on sleeping infants aged twelve (12) months or younger and/maintain documentation for a minimum of one (1) month (Child Care Rule 10A NCAC 09 .0606(g)). -The parent's standing authorization to administer prescription or over-the-counter medication to a child, when needed, for chronic medication conditions, the authorization shall be in writing and shall contain: the child's name, the medical conditions or allergic reactions, the names of the authorized medication, the criteria for the administration of the medication, the amount and frequency of the dosage, the manner in which the medication shall be administered; the signature of the parent, the date the authorization was signed by the parent; the date the authorization was signed by the parent, and the length of time the authorization is valid, if less than six (6) months. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. •Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. • Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. -Ms. Bryan complete the facility's roster in ABCMS, and the roster was verified in ABCMS during the visit. -The Carolina Water for Kids program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once; water was tested May 25, 2024. -Child Care Health Consultants (CCHCs) are trained health professionals with education and experience in both child and community health and early care and education. CCHCs work with early care and education programs to assess, plan, implement, and evaluate strategies to achieve high quality, safe and healthy child care environments. You can contact CCHC Supervisor, Lawanda Combo, for an assigned CCHC: Mecklenburg County Health Department, 980-314-9342, lawanda.combo@mecklenburgcountync.gov. -NCID Password Rule to Change If you have a MYNCID or NCID account, you may have received an email this week announcing changes to the password rules. As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. The change will affect state agency staff as well as external users like citizens, providers, and state and local county staff. There is no action you need to take on or before February 23rd. When you change your current password after Feb. 23, however, you will be required to create a new one that must: • Be a minimum of 14 characters. • Consist of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. • Passwords shall not contain number or character substitutes to create dictionary words (e.g., d33psl33p for deep sleep). Strong, unique passwords – along with practicing mindful cybersecurity practices – are key components to protecting your devices and personal information at home and at work. -The facility's email address noted in Regulatory was verified as correct; provider confirmed that she is receiving emails. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 60004224 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 5/27/2025 Number Present: 117 Completed Date: 5/27/2025 Age: From 0 To 5 Total Minutes: 280 Time In: 09:40 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care rules and laws during a Routine Unannounced visit. I was greeted by Assistant Director, Ms. Shaundra Garris, and I explained the purpose of the visit. The Director, Ms. Debbie Bryan, arrived during the visit. I completed a walkthrough of the center with Ms. Garris. In space 1 and space 2, I observed children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Infant children were observed having supervised "tummy-time." I observed safe sleep checks, the safe sleep policy, infant feeding plans, and a daily schedule. Each crib was appropriately spaced and in good repair. Diapering creams and diapering forms were reviewed and met compliance. In space 3 and space 4 I observed the children and staff having circle time. I observed the children in space 5 having supervised independent play. There was an Occupational Therapist, Madison Rogan, from Integration Station and an Occupational Student, Gabriel Garrigan, present in space 5 providing services. The children in space 6 were observed having outdoor time in the sheltered area of the outdoor play area. I observed the children in space 7 having free choice time, and I observed the children in space 8 having cirle time. I observed the children in space 9 having music and movement time (gross motor) and I observed the children in space 10 having free choice time. The facility is currently operating with a Four Star License issued on February 25, 2025, and the center has an eighteen-month compliance history score of ninety-two (92) percent prior to today’s visit. The last annual compliance visit was conducted September 19, 2024. Two (3) new staff have been hired; staff files were reviewed; a violation was cited. The following child care requirements were monitored and observed today using the Child Care Center Checklist and the 2025 Master Child Care Center Item Number Listing: Supervision: Each group of children were adequately supervised during the visit. Nurturing tones were heard when staff spoke with children. Staff/Child Ratio: The ratios were maintained during today’s visit. CPR: Staff was current with CPR. First Aid: Staff was current First Aid. ITS-SIDS: Staff are current with ITS-SIDS training. The Safe Sleep Policy was posted. The Safe Sleep Logs were documented. Special Training: Staff are continuing to complete required in-service training. CBC Qualification: Each staff member was current with CBC qualification. Emergency Medical Care Plan: The Emergency Care Plan was posted. Administration of Medication: There are children with medication, and a violation was cited for a child's Permission to Administer Form. Children with allergies were posted. Storage of Hazardous Substances: I did not observe any hazardous substances that were accessible, they were observed stored properly during the visit. Storage of Medication: Medications were properly stored. General Safety: There were no safety concerns. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: Each group of children were observed in licensed approved space. Program Records: I reviewed all information required to be posted and found meeting compliance. The monthly fire drill and emergency drill and the quarterly drill (shelter-in-place) were reviewed; a violation was cited. The playground inspections were up to date; compliance was met. License Posted: The license was observed posted on the information board. Permit Restrictions: All permit restrictions were observed meeting compliance today. The last Sanitation Inspection was completed February 5, 2025, with a "Superior" rating and thirteen (13) demerits. The Fire Inspection was completed and approved October 2, 2024 and was approved for day time care only; a violation was cited. Four (4) violations were cited. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The Fire Inspection Report was not submitted within one (1) week of the inspection. 10A NCAC 09 .0304(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. No medical report on file for staff (B.H.). 10A NCAC 09 .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place or lockdown drills were not practiced every three (3) months; were practiced October 28, 2024, February 25, 2025, and March 4, 2025; a drill should have been practiced January 2025. .0604(u);.0302(d)(8) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The parent did not sign and date the Permission to Administer Medication form for (W.T.). .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 10, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov Reminder: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -Session Law 2024-34 Extension of Hold Harmless provisions: Star rated license reassessments for licensed child care providers will be conducted by provider request only, until the QRIS rulemaking process has been completed. The following Technical Assistance (TA) was provided: -Operators must schedule and obtain a fire inspection within twelve (12) months of the previous inspection, and the operator must submit the original approved report to DCDEE within one (1) week of the inspection visit on a form provided by the Division (Child Care Rule 10A NCAC 09 .0304(a)). -Child care centers must conduct a shelter-in-place or lockdown drill, as defined in 10A NCAC 09 .0102, at least every three (3) months, Child Care Rule.0302(d)(8). You must keep a record that includes the date of each drill, time of day, the length of time to reach the designated location and the signature of the person conducting the drill, Child Care Rule .0604(u). -Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director must have a medical report on file prior to employment that was signed by a health care professional. The medical report cannot be older than twelve (12) months (Child Care Rule 10A 09 .0701(a)). -The Safe Sleep Charts are documented and maintained on I-pads; reviewed documentation on the tablets. Ms. Bryan provided a printed copy for review during the visit. Caregivers must continue to document compliance with visually checking on sleeping infants aged twelve (12) months or younger and/maintain documentation for a minimum of one (1) month (Child Care Rule 10A NCAC 09 .0606(g)). -The parent's standing authorization to administer prescription or over-the-counter medication to a child, when needed, for chronic medication conditions, the authorization shall be in writing and shall contain: the child's name, the medical conditions or allergic reactions, the names of the authorized medication, the criteria for the administration of the medication, the amount and frequency of the dosage, the manner in which the medication shall be administered; the signature of the parent, the date the authorization was signed by the parent; the date the authorization was signed by the parent, and the length of time the authorization is valid, if less than six (6) months. -CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. •Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. • Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. -Ms. Bryan complete the facility's roster in ABCMS, and the roster was verified in ABCMS during the visit. -The Carolina Water for Kids program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once; water was tested May 25, 2024. -Child Care Health Consultants (CCHCs) are trained health professionals with education and experience in both child and community health and early care and education. CCHCs work with early care and education programs to assess, plan, implement, and evaluate strategies to achieve high quality, safe and healthy child care environments. You can contact CCHC Supervisor, Lawanda Combo, for an assigned CCHC: Mecklenburg County Health Department, 980-314-9342, lawanda.combo@mecklenburgcountync.gov. -NCID Password Rule to Change If you have a MYNCID or NCID account, you may have received an email this week announcing changes to the password rules. As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. The change will affect state agency staff as well as external users like citizens, providers, and state and local county staff. There is no action you need to take on or before February 23rd. When you change your current password after Feb. 23, however, you will be required to create a new one that must: • Be a minimum of 14 characters. • Consist of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. • Passwords shall not contain number or character substitutes to create dictionary words (e.g., d33psl33p for deep sleep). Strong, unique passwords – along with practicing mindful cybersecurity practices – are key components to protecting your devices and personal information at home and at work. -The facility's email address noted in Regulatory was verified as correct; provider confirmed that she is receiving emails. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0801 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 60004224 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0425-090L Visit Date: 4/15/2025 Number Present: 76 Completed Date: 4/15/2025 Age: From 0 To 4 Total Minutes: 230 Time In: 09:40 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. There were allegations related to falsification, and not following a doctor's note, regarding a specialized health plan. I was greeted by the Assistant Director Ms. Shaundra Garris, and I explained the purpose of the visit. Licensing Supervisor, Michele Sullivan, accompanied me during the visit. The allegation was read to Ms. Garris. A walk-through was completed to observe staff/child ratios, and compliance was met. During the walkthrough it was observed that children with allergies were posted in the kitchen and classrooms. Regarding allegations related to falsification. The allegation is that information received during the complaint visit conducted on March 26, 2025 was not true, specifically, that ice had not been applied to an injured child. Ms. Garris, the Assistant Director was interviewed regarding the incident that occurred on March 17, 2025. The Emergency Medical Care Plan was reviewed, and according to the plan and the incident report reviewed, the Emergency Medical Care Plan was followed. The time line of a previous incident that was reported was reviewed with Ms. Garris. According to Ms. Garris, the incident took place shortly before 5:00 p.m. on March 17, 2025, when a child was injured. The teacher contacted the administrators (Ms. Bryan and Ms. Garris) right after the incident occurred, and the administrators went to the classroom to look at the injured child, and no swelling was observed at that time. However; the teacher returned to the office right after the administrators left the classroom with the child, because the child's lip began to swell, and ice was applied. Ms. Garris stated that she returned to the classroom to help the second teacher in the classroom while the first teacher was getting ice for the injured child. Ms. Garris stated that when the teacher and child returned to the classroom shortly after 5:00 pm, the child had ice. Ms. Garris confirmed that there is not a sign-in/out sheet for ice packs, however, she confirmed that icepacks are available for use. The facility purchased ice bags to keep in the kitchen for when ice packs are needed. The second teacher present in the classroom during the March 17,2025 incident was not present to be interviewed during today's visit. This teacher was also not present during the initial complaint visit conducted on March 26, 2025. The determination regarding this allegation can not be made at this point. A follow up visit will be conducted to interview the second teacher present during the incident. Regarding the allegation that a doctor's note was not followed for a medical condition requiring specialized services; two (2) violations were cited. Upon initial interview with Ms. Garris regarding this allegation, she was unaware of a doctor's note being provided for a child with pollen allergies. She contacted a Meck Pre-K teacher by phone and was told that a parent did send in a doctors note regarding a pollen allergy. Ms. Garris was able to show us the email the parent sent to the facility on April 2, 2025 with a doctors note attached. The note stated that the child should have restricted outdoor play during high pollen count days. Additionally, we reviewed an email forwarding the doctors note to the child's teacher from the director. This email stated that the facility was not able to accommodate the restriction request because outdoor play was required. The child did have outdoor play on April 3, 2025 which was a medium-high pollen count day. Upon pick up that day, the parent noted the child showed physical reactions to pollen and brought the concern to the administrators attention. Then the administrators and parent came up with a plan regarding this medical condition including; the parent bringing in goggles and a cap to wear during outside play, a spray bottle with water and paper towels are available to wash the child's face during and after outdoor play and restrictions for outdoor play, during high pollen count days. This allegation was confirmed and violations were cited for not following a specialized plan on April 3, 2025 after being notified of the medical condition and for not completing a medical action plan to document the specialized medical plan. Based on the interview with Ms. Garris, and based on information provided during the visit, the allegation related to not following a doctor's note, regarding a specialized health plan was confirmed. The allegation of falsification could not be determined at this time. Two (2) violations were cited. Violation Number Comment Rule 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A medical action plan was not completed after a doctor's note was provided, regarding a medical condition requiring specialized health services. .0801(b) 1836 Center administrators and staff did not use the information provided in the application to ensure that each individual child's needs are met. The center received a medical note on April 2, 2025, due to a child's pollen allergy, and needing to restrict outdoor play time. An email was sent to teachers by the director that the request could not be accommodated because outdoor play was required. The child did have outdoor play on April 3, 2025, which was a medium-high pollen count day. .0801 (e) A follow-up visit will be conducted to interview one (1) additional teacher. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 29, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -A child's current application shows allergy-tree nut, and no Medical Action Plan is noted on the application, and the child's application was last updated December 1, 2024. Ms. Garris stated that the child previously had a Medication Action Plan (January 20, 2023). The parent informed the center director that the epi-pen is no longer needed. Any time that a plan changes, documentation should be requested, such as a signed/dated medical statement from a physician. The medical action plan must be updated on an annual basis or when changes to the plan are made by the child's parent or health care professional (Child Care Rule 10A NCAC 09 .0801(b)). -Any time a doctor's note is received, place the doctor's note in the child's file and discuss with caregivers. A "general" Medical Action Plan (general plan) can be completed for a non-food allergy. The document is listed on the Division's website under "Provider Documents." -Ms. Garris stated that accommodations have been made for the child with allergies, and accommodations have been made for other children that have allergies. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 60004224 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0425-090L Visit Date: 4/15/2025 Number Present: 76 Completed Date: 4/15/2025 Age: From 0 To 4 Total Minutes: 230 Time In: 09:40 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. There were allegations related to falsification, and not following a doctor's note, regarding a specialized health plan. I was greeted by the Assistant Director Ms. Shaundra Garris, and I explained the purpose of the visit. Licensing Supervisor, Michele Sullivan, accompanied me during the visit. The allegation was read to Ms. Garris. A walk-through was completed to observe staff/child ratios, and compliance was met. During the walkthrough it was observed that children with allergies were posted in the kitchen and classrooms. Regarding allegations related to falsification. The allegation is that information received during the complaint visit conducted on March 26, 2025 was not true, specifically, that ice had not been applied to an injured child. Ms. Garris, the Assistant Director was interviewed regarding the incident that occurred on March 17, 2025. The Emergency Medical Care Plan was reviewed, and according to the plan and the incident report reviewed, the Emergency Medical Care Plan was followed. The time line of a previous incident that was reported was reviewed with Ms. Garris. According to Ms. Garris, the incident took place shortly before 5:00 p.m. on March 17, 2025, when a child was injured. The teacher contacted the administrators (Ms. Bryan and Ms. Garris) right after the incident occurred, and the administrators went to the classroom to look at the injured child, and no swelling was observed at that time. However; the teacher returned to the office right after the administrators left the classroom with the child, because the child's lip began to swell, and ice was applied. Ms. Garris stated that she returned to the classroom to help the second teacher in the classroom while the first teacher was getting ice for the injured child. Ms. Garris stated that when the teacher and child returned to the classroom shortly after 5:00 pm, the child had ice. Ms. Garris confirmed that there is not a sign-in/out sheet for ice packs, however, she confirmed that icepacks are available for use. The facility purchased ice bags to keep in the kitchen for when ice packs are needed. The second teacher present in the classroom during the March 17,2025 incident was not present to be interviewed during today's visit. This teacher was also not present during the initial complaint visit conducted on March 26, 2025. The determination regarding this allegation can not be made at this point. A follow up visit will be conducted to interview the second teacher present during the incident. Regarding the allegation that a doctor's note was not followed for a medical condition requiring specialized services; two (2) violations were cited. Upon initial interview with Ms. Garris regarding this allegation, she was unaware of a doctor's note being provided for a child with pollen allergies. She contacted a Meck Pre-K teacher by phone and was told that a parent did send in a doctors note regarding a pollen allergy. Ms. Garris was able to show us the email the parent sent to the facility on April 2, 2025 with a doctors note attached. The note stated that the child should have restricted outdoor play during high pollen count days. Additionally, we reviewed an email forwarding the doctors note to the child's teacher from the director. This email stated that the facility was not able to accommodate the restriction request because outdoor play was required. The child did have outdoor play on April 3, 2025 which was a medium-high pollen count day. Upon pick up that day, the parent noted the child showed physical reactions to pollen and brought the concern to the administrators attention. Then the administrators and parent came up with a plan regarding this medical condition including; the parent bringing in goggles and a cap to wear during outside play, a spray bottle with water and paper towels are available to wash the child's face during and after outdoor play and restrictions for outdoor play, during high pollen count days. This allegation was confirmed and violations were cited for not following a specialized plan on April 3, 2025 after being notified of the medical condition and for not completing a medical action plan to document the specialized medical plan. Based on the interview with Ms. Garris, and based on information provided during the visit, the allegation related to not following a doctor's note, regarding a specialized health plan was confirmed. The allegation of falsification could not be determined at this time. Two (2) violations were cited. Violation Number Comment Rule 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A medical action plan was not completed after a doctor's note was provided, regarding a medical condition requiring specialized health services. .0801(b) 1836 Center administrators and staff did not use the information provided in the application to ensure that each individual child's needs are met. The center received a medical note on April 2, 2025, due to a child's pollen allergy, and needing to restrict outdoor play time. An email was sent to teachers by the director that the request could not be accommodated because outdoor play was required. The child did have outdoor play on April 3, 2025, which was a medium-high pollen count day. .0801 (e) A follow-up visit will be conducted to interview one (1) additional teacher. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 29, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -A child's current application shows allergy-tree nut, and no Medical Action Plan is noted on the application, and the child's application was last updated December 1, 2024. Ms. Garris stated that the child previously had a Medication Action Plan (January 20, 2023). The parent informed the center director that the epi-pen is no longer needed. Any time that a plan changes, documentation should be requested, such as a signed/dated medical statement from a physician. The medical action plan must be updated on an annual basis or when changes to the plan are made by the child's parent or health care professional (Child Care Rule 10A NCAC 09 .0801(b)). -Any time a doctor's note is received, place the doctor's note in the child's file and discuss with caregivers. A "general" Medical Action Plan (general plan) can be completed for a non-food allergy. The document is listed on the Division's website under "Provider Documents." -Ms. Garris stated that accommodations have been made for the child with allergies, and accommodations have been made for other children that have allergies. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 60004224 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0325-226L Visit Date: 3/26/2025 Number Present: 127 Completed Date: 3/26/2025 Age: From 0 To 5 Total Minutes: 235 Time In: 09:25 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. Allegations were made to the Division of Child Development and Early Education (DCDEE) on March 18, 2025. There are allegations of violations of child care requirements. The allegations are as follows: There are allegations of violations of child care requirements. I was greeted by the Director Ms. Debbie Bryan, and I explained the purpose of the visit. Ms. Bryan was informed of the allegations. I completed a walkthrough of the center with Ms. Bryan. In space 1 and in space 2, I observed infant children cared for according to their individual needs; some children were having supervised independent play. I observed staff attentive to the needs of the infants. Nurturing tones were heard when staff spoke with the children. I observed children in space 3 and space 4 having circle time. Nurturing tones were heard when staff spoke with the children. The children in space 5 were observed having supervised outdoor play. I observed children riding tricycles and the children had on helmets while riding the tricycles. Adequate supervision was provided and nurturing tones were heard when staff spoke with the children. In space 6 I observed the children having supervised outdoor play. The children were observed preparing to return to the classroom. Adequate supervision was provided and nurturing tones were heard when staff spoke with the children. The children in space 7, space 9, and space 10 (Meck. Pre-K classrooms) were observed having choice time. Adequate supervision was provided and nurturing tones were heard when staff spoke with the children. Administrative staff and a staff member (teacher) were interviewed, regarding an Incident Report that was completed on March 17, 2025. Staff verified that the incident took place at 4:51 p.m. on March 17, 2025, and it is noted on the Incident Report that the incident took place 4:51 p.m. on March 17, 2025. The teacher in the classroom for afterschool children stated that two (2) children were racing to the fence, and a child tripped and fell, resulting him hitting his lip. The teacher stated that she went over to the child, and asked the child if he was okay. The child responded to the teacher by reporting to the teacher that he was okay. The child was not bleeding according to the teacher and the child appeared to be fine. After further observation by the teacher, the teacher stated that she noticed that the child's lip was swelling. The teacher stated that after they returned to the classroom, ice was applied. The teacher stated that she notified Ms. Bryan at 5:20 p.m., of the incident, and the teacher stated that the parent arrived about ten (10) minutes later (approximately 5:30 p.m.), as she was applying another ice-pack, because the previous ice-pack melted. Care was provided by the staff, and it is noted on the Incident Report that First Aid Onsite was provided. According to Ms. Bryan, the parent was notified of the incident by phone at 5:35 p.m. on March 17, 2025, by phone. It is noted on the Incident Report the date of March 17, 2025, and the time is incomplete on the report; the report only list the date. A violation was cited for the time that was not noted on the Incident Report. It was written on the Incident Report by the parent, that the parent was notified at 5:36 p.m.; the report was signed by the parent, and Ms. Bryan initialed the statement that the parent was notified at 5:36 p.m. The Incident Report is documented on the Incident Log. According to sign-out sheet, the child was signed out of the center at 5:38 p.m. Based on the allegations that there are violations of child care requirements was UNSUBSTANTIATED, because an Incident Report was completed when an incident occurred, and the parent was notified according to interviews. One (1) violations was cited. Violation Number Comment Rule 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. The Incident Report did not include the time that the parent was notified of the incident. .0802 (e) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 9, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -Incidents reports must include the date and the time the parent is notified of the incident (Child Care Rule 10A NCAC 09 .0802(3)). -Continue to complete and maintain the Incident Log as required (Child Care Rule 10A NCAC 09 .0802(g)(1- 6)). -Continue to provide a copy of the incident report to the parent (Child Care Rule 10A NCAC 09 .0802(e)). -Complete and mail to a Division representative (child care consultant) within seven (7) days after the incident when medical treatment was required (Child Care Rule 10A NCAC 09 .0802(f)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 60004224 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0325-226L Visit Date: 3/26/2025 Number Present: 127 Completed Date: 3/26/2025 Age: From 0 To 5 Total Minutes: 235 Time In: 09:25 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. Allegations were made to the Division of Child Development and Early Education (DCDEE) on March 18, 2025. There are allegations of violations of child care requirements. The allegations are as follows: There are allegations of violations of child care requirements. I was greeted by the Director Ms. Debbie Bryan, and I explained the purpose of the visit. Ms. Bryan was informed of the allegations. I completed a walkthrough of the center with Ms. Bryan. In space 1 and in space 2, I observed infant children cared for according to their individual needs; some children were having supervised independent play. I observed staff attentive to the needs of the infants. Nurturing tones were heard when staff spoke with the children. I observed children in space 3 and space 4 having circle time. Nurturing tones were heard when staff spoke with the children. The children in space 5 were observed having supervised outdoor play. I observed children riding tricycles and the children had on helmets while riding the tricycles. Adequate supervision was provided and nurturing tones were heard when staff spoke with the children. In space 6 I observed the children having supervised outdoor play. The children were observed preparing to return to the classroom. Adequate supervision was provided and nurturing tones were heard when staff spoke with the children. The children in space 7, space 9, and space 10 (Meck. Pre-K classrooms) were observed having choice time. Adequate supervision was provided and nurturing tones were heard when staff spoke with the children. Administrative staff and a staff member (teacher) were interviewed, regarding an Incident Report that was completed on March 17, 2025. Staff verified that the incident took place at 4:51 p.m. on March 17, 2025, and it is noted on the Incident Report that the incident took place 4:51 p.m. on March 17, 2025. The teacher in the classroom for afterschool children stated that two (2) children were racing to the fence, and a child tripped and fell, resulting him hitting his lip. The teacher stated that she went over to the child, and asked the child if he was okay. The child responded to the teacher by reporting to the teacher that he was okay. The child was not bleeding according to the teacher and the child appeared to be fine. After further observation by the teacher, the teacher stated that she noticed that the child's lip was swelling. The teacher stated that after they returned to the classroom, ice was applied. The teacher stated that she notified Ms. Bryan at 5:20 p.m., of the incident, and the teacher stated that the parent arrived about ten (10) minutes later (approximately 5:30 p.m.), as she was applying another ice-pack, because the previous ice-pack melted. Care was provided by the staff, and it is noted on the Incident Report that First Aid Onsite was provided. According to Ms. Bryan, the parent was notified of the incident by phone at 5:35 p.m. on March 17, 2025, by phone. It is noted on the Incident Report the date of March 17, 2025, and the time is incomplete on the report; the report only list the date. A violation was cited for the time that was not noted on the Incident Report. It was written on the Incident Report by the parent, that the parent was notified at 5:36 p.m.; the report was signed by the parent, and Ms. Bryan initialed the statement that the parent was notified at 5:36 p.m. The Incident Report is documented on the Incident Log. According to sign-out sheet, the child was signed out of the center at 5:38 p.m. Based on the allegations that there are violations of child care requirements was UNSUBSTANTIATED, because an Incident Report was completed when an incident occurred, and the parent was notified according to interviews. One (1) violations was cited. Violation Number Comment Rule 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. The Incident Report did not include the time that the parent was notified of the incident. .0802 (e) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 9, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -Incidents reports must include the date and the time the parent is notified of the incident (Child Care Rule 10A NCAC 09 .0802(3)). -Continue to complete and maintain the Incident Log as required (Child Care Rule 10A NCAC 09 .0802(g)(1- 6)). -Continue to provide a copy of the incident report to the parent (Child Care Rule 10A NCAC 09 .0802(e)). -Complete and mail to a Division representative (child care consultant) within seven (7) days after the incident when medical treatment was required (Child Care Rule 10A NCAC 09 .0802(f)). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 60004224 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 9/19/2024 Number Present: 119 Completed Date: 9/19/2024 Age: From 0 To 5 Total Minutes: 380 Time In: 09:10 AM Time Out: 12:00 PM Time In: 01:00 PM Time Out: 04:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by Lead Teacher, Ms. Shonya Miller, and I explained the purpose of the visit. The Assistant Director, Ms. Shondra Garris, arrived shortly after, and the Director, Ms. Debbie Bryan, arrived during the visit. The facility is currently operating with a Four Star License issued on March 31, 2023. The last annual compliance visit was conducted September 26, 2023. The sanitation inspection was completed August 19, 2024 with an "Approved" classification and nineteen (19) demerits. The last fire inspection was conducted October 23, 2023, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty seven (87) percent as of September 18, 2024. The NC Secretary of State website was reviewed on September 19, 2024 and Premier NC Prosperity Point LLC was listed as current-active. In space 1, I observed Ms. Rebecca Jordan, a Physical Therapist with Milestones, working with a child in space 1. Ms. Jordan has a current Criminal Qualifying Letter on File. I observed staff providing supervised "tummy-time" with infant children, and staff read to the children. The Safe Sleep Poster and the Safe Sleep Policy were posted, and the Infant Feeding Plans were posted; compliance was met. In space 2, I observed Ms. Briana Burnett with Child Development Services (CDSA) with a child. I observed staff providing supervised "tummy-time" with infant children. In space 1 and in space 2, children under twelve months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In space 3 and in Space 4, I observed children having circle time. The children in space 5 and the children in space 6 were observed having outdoor play. In space 7 I observed the children having free choice time, and in space 8 I observed the children having group time. The children in space 9 were observed having free choice time, and the children in space 10 were observed having free choice time. There are three (3) Meck. Pre-K Classrooms, space 7, space 9, and space 10. Available cots were available for each child for rest time, and quiet activities are available for children that chose not to nap during rest time. In space 9, a violation was cited for a living frog that was in space 10. The Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers was provided after the visit. The center uses an approved Curriculum, Creative Curriculum. The following programs requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, Summary of NC Law, Menu, Daily Schedules and Activity Plans, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspections, Emergency Medical Care Plan, and Safe Sleep Poster/Policy; compliance was met for the posted items. Children's emergency medication reviewed. A violation was cited for expired medication, and a violation was cited for a permission to administer medication forms. Children’s allergies/food preference were posted. The staff and training worksheet was used to review staff files. The center has new staff, and the new staff files was reviewed and a veteran staff file was reviewed; staff files met compliance. The outdoor play area was monitored, and a violation was cited for mulch. A violation was cited for the gate (entrance gate). The center does not provide transportation, and the Safe Delivery Statement was posted. The Emergency Preparedness and Response Plan was reviewed; last update February 20, 2024. The facility has accommodations to evacuate the children from the facility in an emergency. Five (5) violations were cited; two (2) violations were corrected during the visit. Violation Number Comment Rule 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. The outdoor play area gate that has an entrance to the parking area (front gate near the pond) was not less than 3 1/2 inches. .0605(g) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A child in space 8 emergency medication expired. .0803(12) 1867 The depth of the loose surfacing was not based on critical height of the equipment. There was not adequate surfacing under outdoor play equipment. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A child in space 8 Permission to Administer Medication form expired April 10, 2024, and one (1) child did not have a Permission to Administer Medication form; a child in space 9 permission to administer medication expired March 10, 2024. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 9999 A violation was found for which there is no item number. here was a small frog in an aquarium in the child care space. The frog was removed out of the child care area. Refer to Sanitation Rule 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL Turtles, iguanas, frogs, salamanders, and other reptiles or amphibians are not allowed to be kept as pets on the premises. Children's files were not reviewed during this; will return within five (5) days to review children's files. Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -On June 12, 2023 Governor Cooper signed Session Law 2023-40; Senate Bill 291. This law extends the hold harmless status for facilities operating with a star rated license until June 30, 2024. Additionally, it extends the reduced percentage of lead teachers that must meet the point levels from 75% to 50% until June 30, 2026. -Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 3, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -There was a small frog in an aquarium in child care space 10. The frog was removed out of the child care area. Refer to Sanitation Rule 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL Turtles, iguanas, frogs, salamanders, and other reptiles or amphibians are not allowed to be kept as pets on the premises. Sanitation Rule 15A NCAC 18A .2831 (a) Animals that are not contained in a cage or restrained on a leash, except those used in supervised activities or pet therapy programs, shall not be allowed in a child care center, including the outdoor learning environment. When animals are on the child care center premises, copies of each animal's vaccination records shall be available for review upon request during a sanitation inspection of the child care center. Any animals kept at the child care center as pets shall be examined by a veterinarian to determine that they are free from pests and pathogens that could adversely affect human health. Turtles, iguanas, frogs, salamanders, and other reptiles or amphibians shall not be kept as pets on the child care center premises. Animals shall not be allowed in or kept at the entrances to food preparation areas. Animal cages shall be kept clean and animal waste materials shall be bagged, sealed, and immediately disposed of in the child care center's exterior garbage area in a covered container. Animals belonging to child care center owners, employees, volunteers, visitors, and children shall not be allowed in child care centers or on the premises unless the requirements set forth in this Paragraph are met. -The depth of the loose surfacing must be based on critical height of the equipment; at least six (6) inches or more is needed. Refer to Child Care Rule 10A NCAC 09 .0605(k)(1-4). -Contact Safe Kids of Mecklenburg County to see if they can provide helmets for children that ride the tricycles, or possibly purchase helmets for the tricycles. According to Child Care Rule 10A NCAC 09 .2506(e): Children riding bicycles must wear safety helmets. -According to Child Care Rule 10A NCAC 09 .0604(f): Electrical cords shall not be accessible to infants and toddlers. Extension cords, except as approved by the local fire inspector, shall not be used. Frayed or cracked electrical cords shall be replaced. In space 9, there was a cord hanging on a wall, and the teacher removed the excess cord; space 9 was not occupied by infant or toddlers. -Expired medications were in space 8. Leftover medicines must be returned to the parent after the course of treatment is completed, after authorization is withdrawn or after authorization has expired and/or medication is not discarded within 72 hours of completion of treatment or withdrawal of authorization. Ms. Bryan contacted the parent during the visit, and the parent informed Ms. Bryan that the child no longer needs the emergency medication; parent planned to confirm by email. Refer to Child Care Rule 10A NCAC 09 .0803(12). -A child is space 9 permission to administer form expired. Authorization for chronic medications must be completed every six (6) months. Refer to Child Care Rule 10A NCAC 09 .0803(6)(a-i): A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. -All North Carolina licensed child care centers and family child care homes must enroll and complete the enrollment surveys for lead-based paint and asbestos of the Clean Classrooms for Carolina Kids™ program by May 1, 2024. -The Clean Water for Carolina Kids™ program expanded to the Clean Classrooms for Carolina Kids™ program to help address the legislatively mandated effort to address lead and asbestos hazards where North Carolina children learn and play. Training is provided to help child care facilities complete the registration process, and the enrollment surveys can be completed in approximately 15 minutes per section. -The program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once. Ms. Bryan completed the survey May 25, 2024, and the center's water has been tested. -To Get Started: Facilities should register for the required pre-enrollment webinar at https://bit.ly/3CK- webinar. The webinar will provide information about lead and asbestos hazards, state requirements, personnel and facility information needed for the program, commonly asked questions, and tips for success. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .2506 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 60004224 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 9/19/2024 Number Present: 119 Completed Date: 9/19/2024 Age: From 0 To 5 Total Minutes: 380 Time In: 09:10 AM Time Out: 12:00 PM Time In: 01:00 PM Time Out: 04:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by Lead Teacher, Ms. Shonya Miller, and I explained the purpose of the visit. The Assistant Director, Ms. Shondra Garris, arrived shortly after, and the Director, Ms. Debbie Bryan, arrived during the visit. The facility is currently operating with a Four Star License issued on March 31, 2023. The last annual compliance visit was conducted September 26, 2023. The sanitation inspection was completed August 19, 2024 with an "Approved" classification and nineteen (19) demerits. The last fire inspection was conducted October 23, 2023, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty seven (87) percent as of September 18, 2024. The NC Secretary of State website was reviewed on September 19, 2024 and Premier NC Prosperity Point LLC was listed as current-active. In space 1, I observed Ms. Rebecca Jordan, a Physical Therapist with Milestones, working with a child in space 1. Ms. Jordan has a current Criminal Qualifying Letter on File. I observed staff providing supervised "tummy-time" with infant children, and staff read to the children. The Safe Sleep Poster and the Safe Sleep Policy were posted, and the Infant Feeding Plans were posted; compliance was met. In space 2, I observed Ms. Briana Burnett with Child Development Services (CDSA) with a child. I observed staff providing supervised "tummy-time" with infant children. In space 1 and in space 2, children under twelve months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In space 3 and in Space 4, I observed children having circle time. The children in space 5 and the children in space 6 were observed having outdoor play. In space 7 I observed the children having free choice time, and in space 8 I observed the children having group time. The children in space 9 were observed having free choice time, and the children in space 10 were observed having free choice time. There are three (3) Meck. Pre-K Classrooms, space 7, space 9, and space 10. Available cots were available for each child for rest time, and quiet activities are available for children that chose not to nap during rest time. In space 9, a violation was cited for a living frog that was in space 10. The Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers was provided after the visit. The center uses an approved Curriculum, Creative Curriculum. The following programs requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, Summary of NC Law, Menu, Daily Schedules and Activity Plans, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspections, Emergency Medical Care Plan, and Safe Sleep Poster/Policy; compliance was met for the posted items. Children's emergency medication reviewed. A violation was cited for expired medication, and a violation was cited for a permission to administer medication forms. Children’s allergies/food preference were posted. The staff and training worksheet was used to review staff files. The center has new staff, and the new staff files was reviewed and a veteran staff file was reviewed; staff files met compliance. The outdoor play area was monitored, and a violation was cited for mulch. A violation was cited for the gate (entrance gate). The center does not provide transportation, and the Safe Delivery Statement was posted. The Emergency Preparedness and Response Plan was reviewed; last update February 20, 2024. The facility has accommodations to evacuate the children from the facility in an emergency. Five (5) violations were cited; two (2) violations were corrected during the visit. Violation Number Comment Rule 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. The outdoor play area gate that has an entrance to the parking area (front gate near the pond) was not less than 3 1/2 inches. .0605(g) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A child in space 8 emergency medication expired. .0803(12) 1867 The depth of the loose surfacing was not based on critical height of the equipment. There was not adequate surfacing under outdoor play equipment. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A child in space 8 Permission to Administer Medication form expired April 10, 2024, and one (1) child did not have a Permission to Administer Medication form; a child in space 9 permission to administer medication expired March 10, 2024. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 9999 A violation was found for which there is no item number. here was a small frog in an aquarium in the child care space. The frog was removed out of the child care area. Refer to Sanitation Rule 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL Turtles, iguanas, frogs, salamanders, and other reptiles or amphibians are not allowed to be kept as pets on the premises. Children's files were not reviewed during this; will return within five (5) days to review children's files. Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -On June 12, 2023 Governor Cooper signed Session Law 2023-40; Senate Bill 291. This law extends the hold harmless status for facilities operating with a star rated license until June 30, 2024. Additionally, it extends the reduced percentage of lead teachers that must meet the point levels from 75% to 50% until June 30, 2026. -Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 3, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -There was a small frog in an aquarium in child care space 10. The frog was removed out of the child care area. Refer to Sanitation Rule 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL Turtles, iguanas, frogs, salamanders, and other reptiles or amphibians are not allowed to be kept as pets on the premises. Sanitation Rule 15A NCAC 18A .2831 (a) Animals that are not contained in a cage or restrained on a leash, except those used in supervised activities or pet therapy programs, shall not be allowed in a child care center, including the outdoor learning environment. When animals are on the child care center premises, copies of each animal's vaccination records shall be available for review upon request during a sanitation inspection of the child care center. Any animals kept at the child care center as pets shall be examined by a veterinarian to determine that they are free from pests and pathogens that could adversely affect human health. Turtles, iguanas, frogs, salamanders, and other reptiles or amphibians shall not be kept as pets on the child care center premises. Animals shall not be allowed in or kept at the entrances to food preparation areas. Animal cages shall be kept clean and animal waste materials shall be bagged, sealed, and immediately disposed of in the child care center's exterior garbage area in a covered container. Animals belonging to child care center owners, employees, volunteers, visitors, and children shall not be allowed in child care centers or on the premises unless the requirements set forth in this Paragraph are met. -The depth of the loose surfacing must be based on critical height of the equipment; at least six (6) inches or more is needed. Refer to Child Care Rule 10A NCAC 09 .0605(k)(1-4). -Contact Safe Kids of Mecklenburg County to see if they can provide helmets for children that ride the tricycles, or possibly purchase helmets for the tricycles. According to Child Care Rule 10A NCAC 09 .2506(e): Children riding bicycles must wear safety helmets. -According to Child Care Rule 10A NCAC 09 .0604(f): Electrical cords shall not be accessible to infants and toddlers. Extension cords, except as approved by the local fire inspector, shall not be used. Frayed or cracked electrical cords shall be replaced. In space 9, there was a cord hanging on a wall, and the teacher removed the excess cord; space 9 was not occupied by infant or toddlers. -Expired medications were in space 8. Leftover medicines must be returned to the parent after the course of treatment is completed, after authorization is withdrawn or after authorization has expired and/or medication is not discarded within 72 hours of completion of treatment or withdrawal of authorization. Ms. Bryan contacted the parent during the visit, and the parent informed Ms. Bryan that the child no longer needs the emergency medication; parent planned to confirm by email. Refer to Child Care Rule 10A NCAC 09 .0803(12). -A child is space 9 permission to administer form expired. Authorization for chronic medications must be completed every six (6) months. Refer to Child Care Rule 10A NCAC 09 .0803(6)(a-i): A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. -All North Carolina licensed child care centers and family child care homes must enroll and complete the enrollment surveys for lead-based paint and asbestos of the Clean Classrooms for Carolina Kids™ program by May 1, 2024. -The Clean Water for Carolina Kids™ program expanded to the Clean Classrooms for Carolina Kids™ program to help address the legislatively mandated effort to address lead and asbestos hazards where North Carolina children learn and play. Training is provided to help child care facilities complete the registration process, and the enrollment surveys can be completed in approximately 15 minutes per section. -The program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once. Ms. Bryan completed the survey May 25, 2024, and the center's water has been tested. -To Get Started: Facilities should register for the required pre-enrollment webinar at https://bit.ly/3CK- webinar. The webinar will provide information about lead and asbestos hazards, state requirements, personnel and facility information needed for the program, commonly asked questions, and tips for success. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 60004224 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 9/19/2024 Number Present: 119 Completed Date: 9/19/2024 Age: From 0 To 5 Total Minutes: 380 Time In: 09:10 AM Time Out: 12:00 PM Time In: 01:00 PM Time Out: 04:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by Lead Teacher, Ms. Shonya Miller, and I explained the purpose of the visit. The Assistant Director, Ms. Shondra Garris, arrived shortly after, and the Director, Ms. Debbie Bryan, arrived during the visit. The facility is currently operating with a Four Star License issued on March 31, 2023. The last annual compliance visit was conducted September 26, 2023. The sanitation inspection was completed August 19, 2024 with an "Approved" classification and nineteen (19) demerits. The last fire inspection was conducted October 23, 2023, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty seven (87) percent as of September 18, 2024. The NC Secretary of State website was reviewed on September 19, 2024 and Premier NC Prosperity Point LLC was listed as current-active. In space 1, I observed Ms. Rebecca Jordan, a Physical Therapist with Milestones, working with a child in space 1. Ms. Jordan has a current Criminal Qualifying Letter on File. I observed staff providing supervised "tummy-time" with infant children, and staff read to the children. The Safe Sleep Poster and the Safe Sleep Policy were posted, and the Infant Feeding Plans were posted; compliance was met. In space 2, I observed Ms. Briana Burnett with Child Development Services (CDSA) with a child. I observed staff providing supervised "tummy-time" with infant children. In space 1 and in space 2, children under twelve months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In space 3 and in Space 4, I observed children having circle time. The children in space 5 and the children in space 6 were observed having outdoor play. In space 7 I observed the children having free choice time, and in space 8 I observed the children having group time. The children in space 9 were observed having free choice time, and the children in space 10 were observed having free choice time. There are three (3) Meck. Pre-K Classrooms, space 7, space 9, and space 10. Available cots were available for each child for rest time, and quiet activities are available for children that chose not to nap during rest time. In space 9, a violation was cited for a living frog that was in space 10. The Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers was provided after the visit. The center uses an approved Curriculum, Creative Curriculum. The following programs requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, Summary of NC Law, Menu, Daily Schedules and Activity Plans, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspections, Emergency Medical Care Plan, and Safe Sleep Poster/Policy; compliance was met for the posted items. Children's emergency medication reviewed. A violation was cited for expired medication, and a violation was cited for a permission to administer medication forms. Children’s allergies/food preference were posted. The staff and training worksheet was used to review staff files. The center has new staff, and the new staff files was reviewed and a veteran staff file was reviewed; staff files met compliance. The outdoor play area was monitored, and a violation was cited for mulch. A violation was cited for the gate (entrance gate). The center does not provide transportation, and the Safe Delivery Statement was posted. The Emergency Preparedness and Response Plan was reviewed; last update February 20, 2024. The facility has accommodations to evacuate the children from the facility in an emergency. Five (5) violations were cited; two (2) violations were corrected during the visit. Violation Number Comment Rule 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. The outdoor play area gate that has an entrance to the parking area (front gate near the pond) was not less than 3 1/2 inches. .0605(g) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A child in space 8 emergency medication expired. .0803(12) 1867 The depth of the loose surfacing was not based on critical height of the equipment. There was not adequate surfacing under outdoor play equipment. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A child in space 8 Permission to Administer Medication form expired April 10, 2024, and one (1) child did not have a Permission to Administer Medication form; a child in space 9 permission to administer medication expired March 10, 2024. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 9999 A violation was found for which there is no item number. here was a small frog in an aquarium in the child care space. The frog was removed out of the child care area. Refer to Sanitation Rule 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL Turtles, iguanas, frogs, salamanders, and other reptiles or amphibians are not allowed to be kept as pets on the premises. Children's files were not reviewed during this; will return within five (5) days to review children's files. Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -On June 12, 2023 Governor Cooper signed Session Law 2023-40; Senate Bill 291. This law extends the hold harmless status for facilities operating with a star rated license until June 30, 2024. Additionally, it extends the reduced percentage of lead teachers that must meet the point levels from 75% to 50% until June 30, 2026. -Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 3, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -There was a small frog in an aquarium in child care space 10. The frog was removed out of the child care area. Refer to Sanitation Rule 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL Turtles, iguanas, frogs, salamanders, and other reptiles or amphibians are not allowed to be kept as pets on the premises. Sanitation Rule 15A NCAC 18A .2831 (a) Animals that are not contained in a cage or restrained on a leash, except those used in supervised activities or pet therapy programs, shall not be allowed in a child care center, including the outdoor learning environment. When animals are on the child care center premises, copies of each animal's vaccination records shall be available for review upon request during a sanitation inspection of the child care center. Any animals kept at the child care center as pets shall be examined by a veterinarian to determine that they are free from pests and pathogens that could adversely affect human health. Turtles, iguanas, frogs, salamanders, and other reptiles or amphibians shall not be kept as pets on the child care center premises. Animals shall not be allowed in or kept at the entrances to food preparation areas. Animal cages shall be kept clean and animal waste materials shall be bagged, sealed, and immediately disposed of in the child care center's exterior garbage area in a covered container. Animals belonging to child care center owners, employees, volunteers, visitors, and children shall not be allowed in child care centers or on the premises unless the requirements set forth in this Paragraph are met. -The depth of the loose surfacing must be based on critical height of the equipment; at least six (6) inches or more is needed. Refer to Child Care Rule 10A NCAC 09 .0605(k)(1-4). -Contact Safe Kids of Mecklenburg County to see if they can provide helmets for children that ride the tricycles, or possibly purchase helmets for the tricycles. According to Child Care Rule 10A NCAC 09 .2506(e): Children riding bicycles must wear safety helmets. -According to Child Care Rule 10A NCAC 09 .0604(f): Electrical cords shall not be accessible to infants and toddlers. Extension cords, except as approved by the local fire inspector, shall not be used. Frayed or cracked electrical cords shall be replaced. In space 9, there was a cord hanging on a wall, and the teacher removed the excess cord; space 9 was not occupied by infant or toddlers. -Expired medications were in space 8. Leftover medicines must be returned to the parent after the course of treatment is completed, after authorization is withdrawn or after authorization has expired and/or medication is not discarded within 72 hours of completion of treatment or withdrawal of authorization. Ms. Bryan contacted the parent during the visit, and the parent informed Ms. Bryan that the child no longer needs the emergency medication; parent planned to confirm by email. Refer to Child Care Rule 10A NCAC 09 .0803(12). -A child is space 9 permission to administer form expired. Authorization for chronic medications must be completed every six (6) months. Refer to Child Care Rule 10A NCAC 09 .0803(6)(a-i): A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. -All North Carolina licensed child care centers and family child care homes must enroll and complete the enrollment surveys for lead-based paint and asbestos of the Clean Classrooms for Carolina Kids™ program by May 1, 2024. -The Clean Water for Carolina Kids™ program expanded to the Clean Classrooms for Carolina Kids™ program to help address the legislatively mandated effort to address lead and asbestos hazards where North Carolina children learn and play. Training is provided to help child care facilities complete the registration process, and the enrollment surveys can be completed in approximately 15 minutes per section. -The program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once. Ms. Bryan completed the survey May 25, 2024, and the center's water has been tested. -To Get Started: Facilities should register for the required pre-enrollment webinar at https://bit.ly/3CK- webinar. The webinar will provide information about lead and asbestos hazards, state requirements, personnel and facility information needed for the program, commonly asked questions, and tips for success. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0605 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 60004224 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 9/19/2024 Number Present: 119 Completed Date: 9/19/2024 Age: From 0 To 5 Total Minutes: 380 Time In: 09:10 AM Time Out: 12:00 PM Time In: 01:00 PM Time Out: 04:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by Lead Teacher, Ms. Shonya Miller, and I explained the purpose of the visit. The Assistant Director, Ms. Shondra Garris, arrived shortly after, and the Director, Ms. Debbie Bryan, arrived during the visit. The facility is currently operating with a Four Star License issued on March 31, 2023. The last annual compliance visit was conducted September 26, 2023. The sanitation inspection was completed August 19, 2024 with an "Approved" classification and nineteen (19) demerits. The last fire inspection was conducted October 23, 2023, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty seven (87) percent as of September 18, 2024. The NC Secretary of State website was reviewed on September 19, 2024 and Premier NC Prosperity Point LLC was listed as current-active. In space 1, I observed Ms. Rebecca Jordan, a Physical Therapist with Milestones, working with a child in space 1. Ms. Jordan has a current Criminal Qualifying Letter on File. I observed staff providing supervised "tummy-time" with infant children, and staff read to the children. The Safe Sleep Poster and the Safe Sleep Policy were posted, and the Infant Feeding Plans were posted; compliance was met. In space 2, I observed Ms. Briana Burnett with Child Development Services (CDSA) with a child. I observed staff providing supervised "tummy-time" with infant children. In space 1 and in space 2, children under twelve months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In space 3 and in Space 4, I observed children having circle time. The children in space 5 and the children in space 6 were observed having outdoor play. In space 7 I observed the children having free choice time, and in space 8 I observed the children having group time. The children in space 9 were observed having free choice time, and the children in space 10 were observed having free choice time. There are three (3) Meck. Pre-K Classrooms, space 7, space 9, and space 10. Available cots were available for each child for rest time, and quiet activities are available for children that chose not to nap during rest time. In space 9, a violation was cited for a living frog that was in space 10. The Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers was provided after the visit. The center uses an approved Curriculum, Creative Curriculum. The following programs requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, Summary of NC Law, Menu, Daily Schedules and Activity Plans, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspections, Emergency Medical Care Plan, and Safe Sleep Poster/Policy; compliance was met for the posted items. Children's emergency medication reviewed. A violation was cited for expired medication, and a violation was cited for a permission to administer medication forms. Children’s allergies/food preference were posted. The staff and training worksheet was used to review staff files. The center has new staff, and the new staff files was reviewed and a veteran staff file was reviewed; staff files met compliance. The outdoor play area was monitored, and a violation was cited for mulch. A violation was cited for the gate (entrance gate). The center does not provide transportation, and the Safe Delivery Statement was posted. The Emergency Preparedness and Response Plan was reviewed; last update February 20, 2024. The facility has accommodations to evacuate the children from the facility in an emergency. Five (5) violations were cited; two (2) violations were corrected during the visit. Violation Number Comment Rule 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. The outdoor play area gate that has an entrance to the parking area (front gate near the pond) was not less than 3 1/2 inches. .0605(g) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A child in space 8 emergency medication expired. .0803(12) 1867 The depth of the loose surfacing was not based on critical height of the equipment. There was not adequate surfacing under outdoor play equipment. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A child in space 8 Permission to Administer Medication form expired April 10, 2024, and one (1) child did not have a Permission to Administer Medication form; a child in space 9 permission to administer medication expired March 10, 2024. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 9999 A violation was found for which there is no item number. here was a small frog in an aquarium in the child care space. The frog was removed out of the child care area. Refer to Sanitation Rule 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL Turtles, iguanas, frogs, salamanders, and other reptiles or amphibians are not allowed to be kept as pets on the premises. Children's files were not reviewed during this; will return within five (5) days to review children's files. Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -On June 12, 2023 Governor Cooper signed Session Law 2023-40; Senate Bill 291. This law extends the hold harmless status for facilities operating with a star rated license until June 30, 2024. Additionally, it extends the reduced percentage of lead teachers that must meet the point levels from 75% to 50% until June 30, 2026. -Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 3, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -There was a small frog in an aquarium in child care space 10. The frog was removed out of the child care area. Refer to Sanitation Rule 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL Turtles, iguanas, frogs, salamanders, and other reptiles or amphibians are not allowed to be kept as pets on the premises. Sanitation Rule 15A NCAC 18A .2831 (a) Animals that are not contained in a cage or restrained on a leash, except those used in supervised activities or pet therapy programs, shall not be allowed in a child care center, including the outdoor learning environment. When animals are on the child care center premises, copies of each animal's vaccination records shall be available for review upon request during a sanitation inspection of the child care center. Any animals kept at the child care center as pets shall be examined by a veterinarian to determine that they are free from pests and pathogens that could adversely affect human health. Turtles, iguanas, frogs, salamanders, and other reptiles or amphibians shall not be kept as pets on the child care center premises. Animals shall not be allowed in or kept at the entrances to food preparation areas. Animal cages shall be kept clean and animal waste materials shall be bagged, sealed, and immediately disposed of in the child care center's exterior garbage area in a covered container. Animals belonging to child care center owners, employees, volunteers, visitors, and children shall not be allowed in child care centers or on the premises unless the requirements set forth in this Paragraph are met. -The depth of the loose surfacing must be based on critical height of the equipment; at least six (6) inches or more is needed. Refer to Child Care Rule 10A NCAC 09 .0605(k)(1-4). -Contact Safe Kids of Mecklenburg County to see if they can provide helmets for children that ride the tricycles, or possibly purchase helmets for the tricycles. According to Child Care Rule 10A NCAC 09 .2506(e): Children riding bicycles must wear safety helmets. -According to Child Care Rule 10A NCAC 09 .0604(f): Electrical cords shall not be accessible to infants and toddlers. Extension cords, except as approved by the local fire inspector, shall not be used. Frayed or cracked electrical cords shall be replaced. In space 9, there was a cord hanging on a wall, and the teacher removed the excess cord; space 9 was not occupied by infant or toddlers. -Expired medications were in space 8. Leftover medicines must be returned to the parent after the course of treatment is completed, after authorization is withdrawn or after authorization has expired and/or medication is not discarded within 72 hours of completion of treatment or withdrawal of authorization. Ms. Bryan contacted the parent during the visit, and the parent informed Ms. Bryan that the child no longer needs the emergency medication; parent planned to confirm by email. Refer to Child Care Rule 10A NCAC 09 .0803(12). -A child is space 9 permission to administer form expired. Authorization for chronic medications must be completed every six (6) months. Refer to Child Care Rule 10A NCAC 09 .0803(6)(a-i): A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. -All North Carolina licensed child care centers and family child care homes must enroll and complete the enrollment surveys for lead-based paint and asbestos of the Clean Classrooms for Carolina Kids™ program by May 1, 2024. -The Clean Water for Carolina Kids™ program expanded to the Clean Classrooms for Carolina Kids™ program to help address the legislatively mandated effort to address lead and asbestos hazards where North Carolina children learn and play. Training is provided to help child care facilities complete the registration process, and the enrollment surveys can be completed in approximately 15 minutes per section. -The program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once. Ms. Bryan completed the survey May 25, 2024, and the center's water has been tested. -To Get Started: Facilities should register for the required pre-enrollment webinar at https://bit.ly/3CK- webinar. The webinar will provide information about lead and asbestos hazards, state requirements, personnel and facility information needed for the program, commonly asked questions, and tips for success. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 60004224 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 9/19/2024 Number Present: 119 Completed Date: 9/19/2024 Age: From 0 To 5 Total Minutes: 380 Time In: 09:10 AM Time Out: 12:00 PM Time In: 01:00 PM Time Out: 04:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by Lead Teacher, Ms. Shonya Miller, and I explained the purpose of the visit. The Assistant Director, Ms. Shondra Garris, arrived shortly after, and the Director, Ms. Debbie Bryan, arrived during the visit. The facility is currently operating with a Four Star License issued on March 31, 2023. The last annual compliance visit was conducted September 26, 2023. The sanitation inspection was completed August 19, 2024 with an "Approved" classification and nineteen (19) demerits. The last fire inspection was conducted October 23, 2023, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty seven (87) percent as of September 18, 2024. The NC Secretary of State website was reviewed on September 19, 2024 and Premier NC Prosperity Point LLC was listed as current-active. In space 1, I observed Ms. Rebecca Jordan, a Physical Therapist with Milestones, working with a child in space 1. Ms. Jordan has a current Criminal Qualifying Letter on File. I observed staff providing supervised "tummy-time" with infant children, and staff read to the children. The Safe Sleep Poster and the Safe Sleep Policy were posted, and the Infant Feeding Plans were posted; compliance was met. In space 2, I observed Ms. Briana Burnett with Child Development Services (CDSA) with a child. I observed staff providing supervised "tummy-time" with infant children. In space 1 and in space 2, children under twelve months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In space 3 and in Space 4, I observed children having circle time. The children in space 5 and the children in space 6 were observed having outdoor play. In space 7 I observed the children having free choice time, and in space 8 I observed the children having group time. The children in space 9 were observed having free choice time, and the children in space 10 were observed having free choice time. There are three (3) Meck. Pre-K Classrooms, space 7, space 9, and space 10. Available cots were available for each child for rest time, and quiet activities are available for children that chose not to nap during rest time. In space 9, a violation was cited for a living frog that was in space 10. The Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers was provided after the visit. The center uses an approved Curriculum, Creative Curriculum. The following programs requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, Summary of NC Law, Menu, Daily Schedules and Activity Plans, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspections, Emergency Medical Care Plan, and Safe Sleep Poster/Policy; compliance was met for the posted items. Children's emergency medication reviewed. A violation was cited for expired medication, and a violation was cited for a permission to administer medication forms. Children’s allergies/food preference were posted. The staff and training worksheet was used to review staff files. The center has new staff, and the new staff files was reviewed and a veteran staff file was reviewed; staff files met compliance. The outdoor play area was monitored, and a violation was cited for mulch. A violation was cited for the gate (entrance gate). The center does not provide transportation, and the Safe Delivery Statement was posted. The Emergency Preparedness and Response Plan was reviewed; last update February 20, 2024. The facility has accommodations to evacuate the children from the facility in an emergency. Five (5) violations were cited; two (2) violations were corrected during the visit. Violation Number Comment Rule 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. The outdoor play area gate that has an entrance to the parking area (front gate near the pond) was not less than 3 1/2 inches. .0605(g) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A child in space 8 emergency medication expired. .0803(12) 1867 The depth of the loose surfacing was not based on critical height of the equipment. There was not adequate surfacing under outdoor play equipment. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A child in space 8 Permission to Administer Medication form expired April 10, 2024, and one (1) child did not have a Permission to Administer Medication form; a child in space 9 permission to administer medication expired March 10, 2024. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 9999 A violation was found for which there is no item number. here was a small frog in an aquarium in the child care space. The frog was removed out of the child care area. Refer to Sanitation Rule 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL Turtles, iguanas, frogs, salamanders, and other reptiles or amphibians are not allowed to be kept as pets on the premises. Children's files were not reviewed during this; will return within five (5) days to review children's files. Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -On June 12, 2023 Governor Cooper signed Session Law 2023-40; Senate Bill 291. This law extends the hold harmless status for facilities operating with a star rated license until June 30, 2024. Additionally, it extends the reduced percentage of lead teachers that must meet the point levels from 75% to 50% until June 30, 2026. -Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 3, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -There was a small frog in an aquarium in child care space 10. The frog was removed out of the child care area. Refer to Sanitation Rule 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL Turtles, iguanas, frogs, salamanders, and other reptiles or amphibians are not allowed to be kept as pets on the premises. Sanitation Rule 15A NCAC 18A .2831 (a) Animals that are not contained in a cage or restrained on a leash, except those used in supervised activities or pet therapy programs, shall not be allowed in a child care center, including the outdoor learning environment. When animals are on the child care center premises, copies of each animal's vaccination records shall be available for review upon request during a sanitation inspection of the child care center. Any animals kept at the child care center as pets shall be examined by a veterinarian to determine that they are free from pests and pathogens that could adversely affect human health. Turtles, iguanas, frogs, salamanders, and other reptiles or amphibians shall not be kept as pets on the child care center premises. Animals shall not be allowed in or kept at the entrances to food preparation areas. Animal cages shall be kept clean and animal waste materials shall be bagged, sealed, and immediately disposed of in the child care center's exterior garbage area in a covered container. Animals belonging to child care center owners, employees, volunteers, visitors, and children shall not be allowed in child care centers or on the premises unless the requirements set forth in this Paragraph are met. -The depth of the loose surfacing must be based on critical height of the equipment; at least six (6) inches or more is needed. Refer to Child Care Rule 10A NCAC 09 .0605(k)(1-4). -Contact Safe Kids of Mecklenburg County to see if they can provide helmets for children that ride the tricycles, or possibly purchase helmets for the tricycles. According to Child Care Rule 10A NCAC 09 .2506(e): Children riding bicycles must wear safety helmets. -According to Child Care Rule 10A NCAC 09 .0604(f): Electrical cords shall not be accessible to infants and toddlers. Extension cords, except as approved by the local fire inspector, shall not be used. Frayed or cracked electrical cords shall be replaced. In space 9, there was a cord hanging on a wall, and the teacher removed the excess cord; space 9 was not occupied by infant or toddlers. -Expired medications were in space 8. Leftover medicines must be returned to the parent after the course of treatment is completed, after authorization is withdrawn or after authorization has expired and/or medication is not discarded within 72 hours of completion of treatment or withdrawal of authorization. Ms. Bryan contacted the parent during the visit, and the parent informed Ms. Bryan that the child no longer needs the emergency medication; parent planned to confirm by email. Refer to Child Care Rule 10A NCAC 09 .0803(12). -A child is space 9 permission to administer form expired. Authorization for chronic medications must be completed every six (6) months. Refer to Child Care Rule 10A NCAC 09 .0803(6)(a-i): A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. -All North Carolina licensed child care centers and family child care homes must enroll and complete the enrollment surveys for lead-based paint and asbestos of the Clean Classrooms for Carolina Kids™ program by May 1, 2024. -The Clean Water for Carolina Kids™ program expanded to the Clean Classrooms for Carolina Kids™ program to help address the legislatively mandated effort to address lead and asbestos hazards where North Carolina children learn and play. Training is provided to help child care facilities complete the registration process, and the enrollment surveys can be completed in approximately 15 minutes per section. -The program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once. Ms. Bryan completed the survey May 25, 2024, and the center's water has been tested. -To Get Started: Facilities should register for the required pre-enrollment webinar at https://bit.ly/3CK- webinar. The webinar will provide information about lead and asbestos hazards, state requirements, personnel and facility information needed for the program, commonly asked questions, and tips for success. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1725 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 60004224 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 9/19/2024 Number Present: 119 Completed Date: 9/19/2024 Age: From 0 To 5 Total Minutes: 380 Time In: 09:10 AM Time Out: 12:00 PM Time In: 01:00 PM Time Out: 04:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by Lead Teacher, Ms. Shonya Miller, and I explained the purpose of the visit. The Assistant Director, Ms. Shondra Garris, arrived shortly after, and the Director, Ms. Debbie Bryan, arrived during the visit. The facility is currently operating with a Four Star License issued on March 31, 2023. The last annual compliance visit was conducted September 26, 2023. The sanitation inspection was completed August 19, 2024 with an "Approved" classification and nineteen (19) demerits. The last fire inspection was conducted October 23, 2023, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty seven (87) percent as of September 18, 2024. The NC Secretary of State website was reviewed on September 19, 2024 and Premier NC Prosperity Point LLC was listed as current-active. In space 1, I observed Ms. Rebecca Jordan, a Physical Therapist with Milestones, working with a child in space 1. Ms. Jordan has a current Criminal Qualifying Letter on File. I observed staff providing supervised "tummy-time" with infant children, and staff read to the children. The Safe Sleep Poster and the Safe Sleep Policy were posted, and the Infant Feeding Plans were posted; compliance was met. In space 2, I observed Ms. Briana Burnett with Child Development Services (CDSA) with a child. I observed staff providing supervised "tummy-time" with infant children. In space 1 and in space 2, children under twelve months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In space 3 and in Space 4, I observed children having circle time. The children in space 5 and the children in space 6 were observed having outdoor play. In space 7 I observed the children having free choice time, and in space 8 I observed the children having group time. The children in space 9 were observed having free choice time, and the children in space 10 were observed having free choice time. There are three (3) Meck. Pre-K Classrooms, space 7, space 9, and space 10. Available cots were available for each child for rest time, and quiet activities are available for children that chose not to nap during rest time. In space 9, a violation was cited for a living frog that was in space 10. The Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers was provided after the visit. The center uses an approved Curriculum, Creative Curriculum. The following programs requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, Summary of NC Law, Menu, Daily Schedules and Activity Plans, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspections, Emergency Medical Care Plan, and Safe Sleep Poster/Policy; compliance was met for the posted items. Children's emergency medication reviewed. A violation was cited for expired medication, and a violation was cited for a permission to administer medication forms. Children’s allergies/food preference were posted. The staff and training worksheet was used to review staff files. The center has new staff, and the new staff files was reviewed and a veteran staff file was reviewed; staff files met compliance. The outdoor play area was monitored, and a violation was cited for mulch. A violation was cited for the gate (entrance gate). The center does not provide transportation, and the Safe Delivery Statement was posted. The Emergency Preparedness and Response Plan was reviewed; last update February 20, 2024. The facility has accommodations to evacuate the children from the facility in an emergency. Five (5) violations were cited; two (2) violations were corrected during the visit. Violation Number Comment Rule 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. The outdoor play area gate that has an entrance to the parking area (front gate near the pond) was not less than 3 1/2 inches. .0605(g) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A child in space 8 emergency medication expired. .0803(12) 1867 The depth of the loose surfacing was not based on critical height of the equipment. There was not adequate surfacing under outdoor play equipment. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A child in space 8 Permission to Administer Medication form expired April 10, 2024, and one (1) child did not have a Permission to Administer Medication form; a child in space 9 permission to administer medication expired March 10, 2024. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 9999 A violation was found for which there is no item number. here was a small frog in an aquarium in the child care space. The frog was removed out of the child care area. Refer to Sanitation Rule 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL Turtles, iguanas, frogs, salamanders, and other reptiles or amphibians are not allowed to be kept as pets on the premises. Children's files were not reviewed during this; will return within five (5) days to review children's files. Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -On June 12, 2023 Governor Cooper signed Session Law 2023-40; Senate Bill 291. This law extends the hold harmless status for facilities operating with a star rated license until June 30, 2024. Additionally, it extends the reduced percentage of lead teachers that must meet the point levels from 75% to 50% until June 30, 2026. -Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 3, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -There was a small frog in an aquarium in child care space 10. The frog was removed out of the child care area. Refer to Sanitation Rule 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL Turtles, iguanas, frogs, salamanders, and other reptiles or amphibians are not allowed to be kept as pets on the premises. Sanitation Rule 15A NCAC 18A .2831 (a) Animals that are not contained in a cage or restrained on a leash, except those used in supervised activities or pet therapy programs, shall not be allowed in a child care center, including the outdoor learning environment. When animals are on the child care center premises, copies of each animal's vaccination records shall be available for review upon request during a sanitation inspection of the child care center. Any animals kept at the child care center as pets shall be examined by a veterinarian to determine that they are free from pests and pathogens that could adversely affect human health. Turtles, iguanas, frogs, salamanders, and other reptiles or amphibians shall not be kept as pets on the child care center premises. Animals shall not be allowed in or kept at the entrances to food preparation areas. Animal cages shall be kept clean and animal waste materials shall be bagged, sealed, and immediately disposed of in the child care center's exterior garbage area in a covered container. Animals belonging to child care center owners, employees, volunteers, visitors, and children shall not be allowed in child care centers or on the premises unless the requirements set forth in this Paragraph are met. -The depth of the loose surfacing must be based on critical height of the equipment; at least six (6) inches or more is needed. Refer to Child Care Rule 10A NCAC 09 .0605(k)(1-4). -Contact Safe Kids of Mecklenburg County to see if they can provide helmets for children that ride the tricycles, or possibly purchase helmets for the tricycles. According to Child Care Rule 10A NCAC 09 .2506(e): Children riding bicycles must wear safety helmets. -According to Child Care Rule 10A NCAC 09 .0604(f): Electrical cords shall not be accessible to infants and toddlers. Extension cords, except as approved by the local fire inspector, shall not be used. Frayed or cracked electrical cords shall be replaced. In space 9, there was a cord hanging on a wall, and the teacher removed the excess cord; space 9 was not occupied by infant or toddlers. -Expired medications were in space 8. Leftover medicines must be returned to the parent after the course of treatment is completed, after authorization is withdrawn or after authorization has expired and/or medication is not discarded within 72 hours of completion of treatment or withdrawal of authorization. Ms. Bryan contacted the parent during the visit, and the parent informed Ms. Bryan that the child no longer needs the emergency medication; parent planned to confirm by email. Refer to Child Care Rule 10A NCAC 09 .0803(12). -A child is space 9 permission to administer form expired. Authorization for chronic medications must be completed every six (6) months. Refer to Child Care Rule 10A NCAC 09 .0803(6)(a-i): A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. -All North Carolina licensed child care centers and family child care homes must enroll and complete the enrollment surveys for lead-based paint and asbestos of the Clean Classrooms for Carolina Kids™ program by May 1, 2024. -The Clean Water for Carolina Kids™ program expanded to the Clean Classrooms for Carolina Kids™ program to help address the legislatively mandated effort to address lead and asbestos hazards where North Carolina children learn and play. Training is provided to help child care facilities complete the registration process, and the enrollment surveys can be completed in approximately 15 minutes per section. -The program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once. Ms. Bryan completed the survey May 25, 2024, and the center's water has been tested. -To Get Started: Facilities should register for the required pre-enrollment webinar at https://bit.ly/3CK- webinar. The webinar will provide information about lead and asbestos hazards, state requirements, personnel and facility information needed for the program, commonly asked questions, and tips for success. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 60004224 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: Visit Date: 9/19/2024 Number Present: 119 Completed Date: 9/19/2024 Age: From 0 To 5 Total Minutes: 380 Time In: 09:10 AM Time Out: 12:00 PM Time In: 01:00 PM Time Out: 04:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. I was greeted by Lead Teacher, Ms. Shonya Miller, and I explained the purpose of the visit. The Assistant Director, Ms. Shondra Garris, arrived shortly after, and the Director, Ms. Debbie Bryan, arrived during the visit. The facility is currently operating with a Four Star License issued on March 31, 2023. The last annual compliance visit was conducted September 26, 2023. The sanitation inspection was completed August 19, 2024 with an "Approved" classification and nineteen (19) demerits. The last fire inspection was conducted October 23, 2023, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty seven (87) percent as of September 18, 2024. The NC Secretary of State website was reviewed on September 19, 2024 and Premier NC Prosperity Point LLC was listed as current-active. In space 1, I observed Ms. Rebecca Jordan, a Physical Therapist with Milestones, working with a child in space 1. Ms. Jordan has a current Criminal Qualifying Letter on File. I observed staff providing supervised "tummy-time" with infant children, and staff read to the children. The Safe Sleep Poster and the Safe Sleep Policy were posted, and the Infant Feeding Plans were posted; compliance was met. In space 2, I observed Ms. Briana Burnett with Child Development Services (CDSA) with a child. I observed staff providing supervised "tummy-time" with infant children. In space 1 and in space 2, children under twelve months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. In space 3 and in Space 4, I observed children having circle time. The children in space 5 and the children in space 6 were observed having outdoor play. In space 7 I observed the children having free choice time, and in space 8 I observed the children having group time. The children in space 9 were observed having free choice time, and the children in space 10 were observed having free choice time. There are three (3) Meck. Pre-K Classrooms, space 7, space 9, and space 10. Available cots were available for each child for rest time, and quiet activities are available for children that chose not to nap during rest time. In space 9, a violation was cited for a living frog that was in space 10. The Center Item Number Listing and the Annual Compliance Monitoring Checklist for Child Care Centers were used to monitor today’s visit. A copy of the Annual Compliance Checklist for Centers was provided after the visit. The center uses an approved Curriculum, Creative Curriculum. The following programs requirements were observed posted: First Aid Poster, Child Care License, No Smoking Sign, Summary of NC Law, Menu, Daily Schedules and Activity Plans, Fire Drills/Shelter-in-Place and/or Lockdown Drills, Playground Inspections, Emergency Medical Care Plan, and Safe Sleep Poster/Policy; compliance was met for the posted items. Children's emergency medication reviewed. A violation was cited for expired medication, and a violation was cited for a permission to administer medication forms. Children’s allergies/food preference were posted. The staff and training worksheet was used to review staff files. The center has new staff, and the new staff files was reviewed and a veteran staff file was reviewed; staff files met compliance. The outdoor play area was monitored, and a violation was cited for mulch. A violation was cited for the gate (entrance gate). The center does not provide transportation, and the Safe Delivery Statement was posted. The Emergency Preparedness and Response Plan was reviewed; last update February 20, 2024. The facility has accommodations to evacuate the children from the facility in an emergency. Five (5) violations were cited; two (2) violations were corrected during the visit. Violation Number Comment Rule 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. The outdoor play area gate that has an entrance to the parking area (front gate near the pond) was not less than 3 1/2 inches. .0605(g) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A child in space 8 emergency medication expired. .0803(12) 1867 The depth of the loose surfacing was not based on critical height of the equipment. There was not adequate surfacing under outdoor play equipment. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A child in space 8 Permission to Administer Medication form expired April 10, 2024, and one (1) child did not have a Permission to Administer Medication form; a child in space 9 permission to administer medication expired March 10, 2024. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 9999 A violation was found for which there is no item number. here was a small frog in an aquarium in the child care space. The frog was removed out of the child care area. Refer to Sanitation Rule 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL Turtles, iguanas, frogs, salamanders, and other reptiles or amphibians are not allowed to be kept as pets on the premises. Children's files were not reviewed during this; will return within five (5) days to review children's files. Reminders: -Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. -On June 12, 2023 Governor Cooper signed Session Law 2023-40; Senate Bill 291. This law extends the hold harmless status for facilities operating with a star rated license until June 30, 2024. Additionally, it extends the reduced percentage of lead teachers that must meet the point levels from 75% to 50% until June 30, 2026. -Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 3, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -There was a small frog in an aquarium in child care space 10. The frog was removed out of the child care area. Refer to Sanitation Rule 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL Turtles, iguanas, frogs, salamanders, and other reptiles or amphibians are not allowed to be kept as pets on the premises. Sanitation Rule 15A NCAC 18A .2831 (a) Animals that are not contained in a cage or restrained on a leash, except those used in supervised activities or pet therapy programs, shall not be allowed in a child care center, including the outdoor learning environment. When animals are on the child care center premises, copies of each animal's vaccination records shall be available for review upon request during a sanitation inspection of the child care center. Any animals kept at the child care center as pets shall be examined by a veterinarian to determine that they are free from pests and pathogens that could adversely affect human health. Turtles, iguanas, frogs, salamanders, and other reptiles or amphibians shall not be kept as pets on the child care center premises. Animals shall not be allowed in or kept at the entrances to food preparation areas. Animal cages shall be kept clean and animal waste materials shall be bagged, sealed, and immediately disposed of in the child care center's exterior garbage area in a covered container. Animals belonging to child care center owners, employees, volunteers, visitors, and children shall not be allowed in child care centers or on the premises unless the requirements set forth in this Paragraph are met. -The depth of the loose surfacing must be based on critical height of the equipment; at least six (6) inches or more is needed. Refer to Child Care Rule 10A NCAC 09 .0605(k)(1-4). -Contact Safe Kids of Mecklenburg County to see if they can provide helmets for children that ride the tricycles, or possibly purchase helmets for the tricycles. According to Child Care Rule 10A NCAC 09 .2506(e): Children riding bicycles must wear safety helmets. -According to Child Care Rule 10A NCAC 09 .0604(f): Electrical cords shall not be accessible to infants and toddlers. Extension cords, except as approved by the local fire inspector, shall not be used. Frayed or cracked electrical cords shall be replaced. In space 9, there was a cord hanging on a wall, and the teacher removed the excess cord; space 9 was not occupied by infant or toddlers. -Expired medications were in space 8. Leftover medicines must be returned to the parent after the course of treatment is completed, after authorization is withdrawn or after authorization has expired and/or medication is not discarded within 72 hours of completion of treatment or withdrawal of authorization. Ms. Bryan contacted the parent during the visit, and the parent informed Ms. Bryan that the child no longer needs the emergency medication; parent planned to confirm by email. Refer to Child Care Rule 10A NCAC 09 .0803(12). -A child is space 9 permission to administer form expired. Authorization for chronic medications must be completed every six (6) months. Refer to Child Care Rule 10A NCAC 09 .0803(6)(a-i): A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. -All North Carolina licensed child care centers and family child care homes must enroll and complete the enrollment surveys for lead-based paint and asbestos of the Clean Classrooms for Carolina Kids™ program by May 1, 2024. -The Clean Water for Carolina Kids™ program expanded to the Clean Classrooms for Carolina Kids™ program to help address the legislatively mandated effort to address lead and asbestos hazards where North Carolina children learn and play. Training is provided to help child care facilities complete the registration process, and the enrollment surveys can be completed in approximately 15 minutes per section. -The program continues to test child care centers for lead in water at every tap used for drinking or cooking every three years (15A NCAC 18A .2816) and requires family child care homes to have testing completed by January 1, 2025 (10A NCAC 09 .1725(a)). The program also reviews child care facilities’ documentation and other information to determine and coordinate any steps needed to identify and eliminate lead-based paint and asbestos hazards (10A NCAC 41C.1001-1007). Licensed child care centers operating within a public school (i.e., afterschool programs, Head Starts, Pre-K, etc.) should coordinate with school staff to complete the lead in water section of the program so the entire school can be tested at once. Ms. Bryan completed the survey May 25, 2024, and the center's water has been tested. -To Get Started: Facilities should register for the required pre-enrollment webinar at https://bit.ly/3CK- webinar. The webinar will provide information about lead and asbestos hazards, state requirements, personnel and facility information needed for the program, commonly asked questions, and tips for success. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2703 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 60004224 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0424-405L Visit Date: 4/29/2024 Number Present: 107 Completed Date: 4/29/2024 Age: From 0 To 5 Total Minutes: 265 Time In: 09:50 AM Time Out: 12:50 PM Time In: 01:50 PM Time Out: 03:15 PM List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. On April 25, 2024, the Division of Child Development and Early Education (DCDEE) received a complaint allegation. The allegation is as follows: -There is a concern that children were not treated in a nurturing manner. I was greeted by the Assistant Director Ms. Shaundra Garris, and I explained the purpose of the visit. A walk through of the facility was completed with the Director, Ms. Debbie Bryan. There were two (2) of three (3) therapists present that worked independently with children: Occupational Therapist, Alexia May, Speech Therapist Megan Kane, and Occupational Therapist Caitlyn Ulrich. A letter was not on file for Ms. Ulrich, and violations were cited. In space 1., and in space 2., children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Children in space 1 and space 2 were observed having supervised "tummy-time." I observed the children in space 3 having free independent play. Speech Therapist, Kristal McCallup, was observed in space 3., working with a child; has a current CBC on file. The children were observed having supervised independent play, while the teacher in space 4., changed a child's diaper; the child were adequately supervised. In space 5., the children and staff were outside on the playground. The children in space 6, space 8, and space 9 were observed having independent play, and the children in space 7., were observed having circle time. Space 10 was not in use during the visit. In each child care space, I observed staff caring for children in a nurturing manner; nurturing tones were heard when staff spoke with children. The director and the assistant director were interviewed and eleven (11) staff were interviewed. Based on staff interviews, the allegation that children were not treated in a nurturing manner was UNSUBSTANTIATED. Two (2) violations were cited. Violation Number Comment Rule 1041 Prior to employment a Criminal Background Check was not completed. Prior to working with children, the center did not verify if a CBC was completed for an occupational therapist (C.U.) G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. An occupational therapist (C.U.) did not have a CBC letter on file. G.S. 110-90.2(b) & (d) & .2703(e) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before May 13, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -Therapist working independently with children must have a Criminal Background Check (CBC) completed and a qualifying letter on file. Ms. Ulrich, an Occupational Therapist left during the walk through of the facility with Ms. Bryan. Ms. Ulrich did not have a letter on file; the consultant verified that Ms. Ulrich has been qualified through December 14, 2028. Ms. Bryan was informed Ms. Ulrich's qualifying letter must be on file at the facility. Refer to Child Care Rule 10A NCAC 09 .2703(e); G.S. 110-90.2(b). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-90 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 60004224 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0424-405L Visit Date: 4/29/2024 Number Present: 107 Completed Date: 4/29/2024 Age: From 0 To 5 Total Minutes: 265 Time In: 09:50 AM Time Out: 12:50 PM Time In: 01:50 PM Time Out: 03:15 PM List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. On April 25, 2024, the Division of Child Development and Early Education (DCDEE) received a complaint allegation. The allegation is as follows: -There is a concern that children were not treated in a nurturing manner. I was greeted by the Assistant Director Ms. Shaundra Garris, and I explained the purpose of the visit. A walk through of the facility was completed with the Director, Ms. Debbie Bryan. There were two (2) of three (3) therapists present that worked independently with children: Occupational Therapist, Alexia May, Speech Therapist Megan Kane, and Occupational Therapist Caitlyn Ulrich. A letter was not on file for Ms. Ulrich, and violations were cited. In space 1., and in space 2., children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Children in space 1 and space 2 were observed having supervised "tummy-time." I observed the children in space 3 having free independent play. Speech Therapist, Kristal McCallup, was observed in space 3., working with a child; has a current CBC on file. The children were observed having supervised independent play, while the teacher in space 4., changed a child's diaper; the child were adequately supervised. In space 5., the children and staff were outside on the playground. The children in space 6, space 8, and space 9 were observed having independent play, and the children in space 7., were observed having circle time. Space 10 was not in use during the visit. In each child care space, I observed staff caring for children in a nurturing manner; nurturing tones were heard when staff spoke with children. The director and the assistant director were interviewed and eleven (11) staff were interviewed. Based on staff interviews, the allegation that children were not treated in a nurturing manner was UNSUBSTANTIATED. Two (2) violations were cited. Violation Number Comment Rule 1041 Prior to employment a Criminal Background Check was not completed. Prior to working with children, the center did not verify if a CBC was completed for an occupational therapist (C.U.) G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. An occupational therapist (C.U.) did not have a CBC letter on file. G.S. 110-90.2(b) & (d) & .2703(e) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before May 13, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -Therapist working independently with children must have a Criminal Background Check (CBC) completed and a qualifying letter on file. Ms. Ulrich, an Occupational Therapist left during the walk through of the facility with Ms. Bryan. Ms. Ulrich did not have a letter on file; the consultant verified that Ms. Ulrich has been qualified through December 14, 2028. Ms. Bryan was informed Ms. Ulrich's qualifying letter must be on file at the facility. Refer to Child Care Rule 10A NCAC 09 .2703(e); G.S. 110-90.2(b). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 60004224 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0424-405L Visit Date: 4/29/2024 Number Present: 107 Completed Date: 4/29/2024 Age: From 0 To 5 Total Minutes: 265 Time In: 09:50 AM Time Out: 12:50 PM Time In: 01:50 PM Time Out: 03:15 PM List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. On April 25, 2024, the Division of Child Development and Early Education (DCDEE) received a complaint allegation. The allegation is as follows: -There is a concern that children were not treated in a nurturing manner. I was greeted by the Assistant Director Ms. Shaundra Garris, and I explained the purpose of the visit. A walk through of the facility was completed with the Director, Ms. Debbie Bryan. There were two (2) of three (3) therapists present that worked independently with children: Occupational Therapist, Alexia May, Speech Therapist Megan Kane, and Occupational Therapist Caitlyn Ulrich. A letter was not on file for Ms. Ulrich, and violations were cited. In space 1., and in space 2., children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. Children in space 1 and space 2 were observed having supervised "tummy-time." I observed the children in space 3 having free independent play. Speech Therapist, Kristal McCallup, was observed in space 3., working with a child; has a current CBC on file. The children were observed having supervised independent play, while the teacher in space 4., changed a child's diaper; the child were adequately supervised. In space 5., the children and staff were outside on the playground. The children in space 6, space 8, and space 9 were observed having independent play, and the children in space 7., were observed having circle time. Space 10 was not in use during the visit. In each child care space, I observed staff caring for children in a nurturing manner; nurturing tones were heard when staff spoke with children. The director and the assistant director were interviewed and eleven (11) staff were interviewed. Based on staff interviews, the allegation that children were not treated in a nurturing manner was UNSUBSTANTIATED. Two (2) violations were cited. Violation Number Comment Rule 1041 Prior to employment a Criminal Background Check was not completed. Prior to working with children, the center did not verify if a CBC was completed for an occupational therapist (C.U.) G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. An occupational therapist (C.U.) did not have a CBC letter on file. G.S. 110-90.2(b) & (d) & .2703(e) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before May 13, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Deanna Matthews, Child Care Consultant P.O. Box 756 Gastonia, NC 28053 Deanna.Matthews@dhhs.nc.gov The following Technical Assistance (TA) was provided: -Therapist working independently with children must have a Criminal Background Check (CBC) completed and a qualifying letter on file. Ms. Ulrich, an Occupational Therapist left during the walk through of the facility with Ms. Bryan. Ms. Ulrich did not have a letter on file; the consultant verified that Ms. Ulrich has been qualified through December 14, 2028. Ms. Bryan was informed Ms. Ulrich's qualifying letter must be on file at the facility. Refer to Child Care Rule 10A NCAC 09 .2703(e); G.S. 110-90.2(b). The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 60004224 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0324-160L Visit Date: 3/25/2024 Number Present: 112 Completed Date: 3/25/2024 Age: From 0 To 5 Total Minutes: 193 Time In: 11:42 AM Time Out: 02:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. On March 12, 2024, the Division of Child Development and Early Education (DCDEE) received a complaint allegation. The allegations are as follows: There is a concern that toddlers are not adequately supervised. I was greeted by the Assistant Director, Ms. Shaundra Garris, and Director Ms. Debbie Bryan, and I explained the purpose of the visit. A walkthrough of the center was completed with Ms. Bryan. In space 1., and in space 2., children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. In space 1., I observed staff having supervised "tummy-time" and care was provided to infants. I observed in space 3. the children preparing for lunch. In space 4., space 5., space 6., space 7., and space 10., I observed the children eating lunch. Today’s menu consisted of meatballs with mashed potatoes and gravy, oranges, green beans, and milk. I observed the children eating the following: meatballs with mashed potatoes and gravy, apple sauce, green beans, and milk. A violation was cited for a substitution not recorded on the menu. I observed the children in space 8. on the playground, and I observed staff providing supervision. Space 9. is the room used for gross motor indoor activity, and the space was not is use. Nurturing tones were heard when staff members in each space spoke with the children. Based on the allegation that toddler children are unsupervised, I interviewed six staff, from space 4., space 5., and space 6., and staff stated that they have not observed toddler children unsupervised. Based on interviews with administrative staff, administrative staff stated that they did not have any concerns regarding supervision; stated that they have not received any concerns from parents. Proper supervision of children was observed today in each space. Based on information received from interviewed staff and my observations, the finding regarding the allegation of inadequate supervision was UNSUBSTANTIATED. One (1) violation was cited. Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The apple sauce that was substituted for oranges was not recorded on the menu. 10A NCAC 09 .0901(b) The following Technical Assistance (TA) was provided: -If you substitute a food item on the menu, record the substituted item on the menu. Refer to Child Care Rule 10A NCAC 09 .0901(b). -The licensed capacity for first shift child care is one-hundred and twenty (120) children. Please keep in mind that the maximum number of children provided care on any given day must not exceed one-hundred and twenty (120) children. Refer to Child Care Rule 10A NCAC 09 .1401(f). -Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Your compliance history score is eighty-one (81) percent as of March 24, 2024. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0901 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 60004224 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0324-160L Visit Date: 3/25/2024 Number Present: 112 Completed Date: 3/25/2024 Age: From 0 To 5 Total Minutes: 193 Time In: 11:42 AM Time Out: 02:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. On March 12, 2024, the Division of Child Development and Early Education (DCDEE) received a complaint allegation. The allegations are as follows: There is a concern that toddlers are not adequately supervised. I was greeted by the Assistant Director, Ms. Shaundra Garris, and Director Ms. Debbie Bryan, and I explained the purpose of the visit. A walkthrough of the center was completed with Ms. Bryan. In space 1., and in space 2., children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. In space 1., I observed staff having supervised "tummy-time" and care was provided to infants. I observed in space 3. the children preparing for lunch. In space 4., space 5., space 6., space 7., and space 10., I observed the children eating lunch. Today’s menu consisted of meatballs with mashed potatoes and gravy, oranges, green beans, and milk. I observed the children eating the following: meatballs with mashed potatoes and gravy, apple sauce, green beans, and milk. A violation was cited for a substitution not recorded on the menu. I observed the children in space 8. on the playground, and I observed staff providing supervision. Space 9. is the room used for gross motor indoor activity, and the space was not is use. Nurturing tones were heard when staff members in each space spoke with the children. Based on the allegation that toddler children are unsupervised, I interviewed six staff, from space 4., space 5., and space 6., and staff stated that they have not observed toddler children unsupervised. Based on interviews with administrative staff, administrative staff stated that they did not have any concerns regarding supervision; stated that they have not received any concerns from parents. Proper supervision of children was observed today in each space. Based on information received from interviewed staff and my observations, the finding regarding the allegation of inadequate supervision was UNSUBSTANTIATED. One (1) violation was cited. Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The apple sauce that was substituted for oranges was not recorded on the menu. 10A NCAC 09 .0901(b) The following Technical Assistance (TA) was provided: -If you substitute a food item on the menu, record the substituted item on the menu. Refer to Child Care Rule 10A NCAC 09 .0901(b). -The licensed capacity for first shift child care is one-hundred and twenty (120) children. Please keep in mind that the maximum number of children provided care on any given day must not exceed one-hundred and twenty (120) children. Refer to Child Care Rule 10A NCAC 09 .1401(f). -Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Your compliance history score is eighty-one (81) percent as of March 24, 2024. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1401 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 60004224 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0324-160L Visit Date: 3/25/2024 Number Present: 112 Completed Date: 3/25/2024 Age: From 0 To 5 Total Minutes: 193 Time In: 11:42 AM Time Out: 02:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. On March 12, 2024, the Division of Child Development and Early Education (DCDEE) received a complaint allegation. The allegations are as follows: There is a concern that toddlers are not adequately supervised. I was greeted by the Assistant Director, Ms. Shaundra Garris, and Director Ms. Debbie Bryan, and I explained the purpose of the visit. A walkthrough of the center was completed with Ms. Bryan. In space 1., and in space 2., children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. In space 1., I observed staff having supervised "tummy-time" and care was provided to infants. I observed in space 3. the children preparing for lunch. In space 4., space 5., space 6., space 7., and space 10., I observed the children eating lunch. Today’s menu consisted of meatballs with mashed potatoes and gravy, oranges, green beans, and milk. I observed the children eating the following: meatballs with mashed potatoes and gravy, apple sauce, green beans, and milk. A violation was cited for a substitution not recorded on the menu. I observed the children in space 8. on the playground, and I observed staff providing supervision. Space 9. is the room used for gross motor indoor activity, and the space was not is use. Nurturing tones were heard when staff members in each space spoke with the children. Based on the allegation that toddler children are unsupervised, I interviewed six staff, from space 4., space 5., and space 6., and staff stated that they have not observed toddler children unsupervised. Based on interviews with administrative staff, administrative staff stated that they did not have any concerns regarding supervision; stated that they have not received any concerns from parents. Proper supervision of children was observed today in each space. Based on information received from interviewed staff and my observations, the finding regarding the allegation of inadequate supervision was UNSUBSTANTIATED. One (1) violation was cited. Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The apple sauce that was substituted for oranges was not recorded on the menu. 10A NCAC 09 .0901(b) The following Technical Assistance (TA) was provided: -If you substitute a food item on the menu, record the substituted item on the menu. Refer to Child Care Rule 10A NCAC 09 .0901(b). -The licensed capacity for first shift child care is one-hundred and twenty (120) children. Please keep in mind that the maximum number of children provided care on any given day must not exceed one-hundred and twenty (120) children. Refer to Child Care Rule 10A NCAC 09 .1401(f). -Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Your compliance history score is eighty-one (81) percent as of March 24, 2024. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 60004224 Consultant: DEANNA MATTHEWS Operation Type: Center Case Number: 0324-160L Visit Date: 3/25/2024 Number Present: 112 Completed Date: 3/25/2024 Age: From 0 To 5 Total Minutes: 193 Time In: 11:42 AM Time Out: 02:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. On March 12, 2024, the Division of Child Development and Early Education (DCDEE) received a complaint allegation. The allegations are as follows: There is a concern that toddlers are not adequately supervised. I was greeted by the Assistant Director, Ms. Shaundra Garris, and Director Ms. Debbie Bryan, and I explained the purpose of the visit. A walkthrough of the center was completed with Ms. Bryan. In space 1., and in space 2., children under twelve (12) months old received care according to individual needs including diapering and bottle feeding. In space 1., I observed staff having supervised "tummy-time" and care was provided to infants. I observed in space 3. the children preparing for lunch. In space 4., space 5., space 6., space 7., and space 10., I observed the children eating lunch. Today’s menu consisted of meatballs with mashed potatoes and gravy, oranges, green beans, and milk. I observed the children eating the following: meatballs with mashed potatoes and gravy, apple sauce, green beans, and milk. A violation was cited for a substitution not recorded on the menu. I observed the children in space 8. on the playground, and I observed staff providing supervision. Space 9. is the room used for gross motor indoor activity, and the space was not is use. Nurturing tones were heard when staff members in each space spoke with the children. Based on the allegation that toddler children are unsupervised, I interviewed six staff, from space 4., space 5., and space 6., and staff stated that they have not observed toddler children unsupervised. Based on interviews with administrative staff, administrative staff stated that they did not have any concerns regarding supervision; stated that they have not received any concerns from parents. Proper supervision of children was observed today in each space. Based on information received from interviewed staff and my observations, the finding regarding the allegation of inadequate supervision was UNSUBSTANTIATED. One (1) violation was cited. Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The apple sauce that was substituted for oranges was not recorded on the menu. 10A NCAC 09 .0901(b) The following Technical Assistance (TA) was provided: -If you substitute a food item on the menu, record the substituted item on the menu. Refer to Child Care Rule 10A NCAC 09 .0901(b). -The licensed capacity for first shift child care is one-hundred and twenty (120) children. Please keep in mind that the maximum number of children provided care on any given day must not exceed one-hundred and twenty (120) children. Refer to Child Care Rule 10A NCAC 09 .1401(f). -Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Your compliance history score is eighty-one (81) percent as of March 24, 2024. The visit summary was reviewed, signed, and a copy was provided to you. Contact me at Deanna Matthews, Child Care Consultant, (704-962-7854), Deanna.Matthews@dhhs.nc.gov or Michele Sullivan, Licensing Supervisor, (704-594-0147), Michele.Sullivan@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 60004224 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 10/24/2023 Number Present: 111 Completed Date: 10/24/2023 Age: From 0 To 5 Total Minutes: 95 Time In: 10:15 AM Time Out: 11:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during an Administrative Action Follow-Up Visit. The center had a compliance history of 79% prior to today’s visit. The following was monitored using the August 2023 Center Item Number Listing: supervision of children; discipline, nurture, or care of children, staff/child ratio, group size, licensed capacity, permit restriction, CPR training, First Aid training, medications and criminal record check requirements regarding pre-service and five-year reassessments in accordance with G.S. 110-90.2(b). Upon arrival I was greeted by Ms. Debbie Bryan, Director, and I explained the purpose of my visit. She accompanied me on the walk through of the facility. In Space 1 for infant care I observed infants playing on the floor, sleeping in their crib, and being held by the teacher. Safe sleep checks were monitored and met requirements. Feeding schedules were posted for each child and each child had an individual crib. Children in Spaces 2, 4, and 5 were observed on their playgrounds. Adequate supervision was observed and staff/child ratio was maintained. In Space 7, Meck Pre-K, children were observed participating in large group activities at the tables. Teachers were observed engaged with children. The arrival times were not yet documented for children. This was corrected during the visit. I observed arrival and departure times documented as required for 10/23/23. Teachers stated attendance for Meck Pre-K was taken on Ascend however the time of arrival/departure was not captured in that program. Arrival and departure times were required to be documented as children arrived and departed each day as they occurred. This was corrected during the visit. One (1) new staff file was reviewed. Adequate supervision was observed and staff/child ratio met requirements. Staff were observed providing a nurturing environment and engaged with children. Two (2) violations were observed and cited. Each was corrected during the visit therefore no corrective action was required. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival times were not documented for 10/24/23 in Space 7. 10A NCAC 09 .0302(d)(4) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A bottle of pesticide was stored on a shelf above five feet in the unlocked closet used to store car seats. The door was opened today. .2820(b) Technical Assistance/General Comments: Child Care Rule 10A NCAC 09 .0302(d)(4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; I discussed this rule with teachers in Space 7 and explained the times should be documented in real time as children arrive and depart each day. I recommend conducting a compliance walk through each morning to check for hazardous product storage and ensure all closets are locked that store hazardous products. I monitored approved policies and procedures from the administrative action. All classrooms implemented the approved policies and procedures. Today, Space 7 was tardy documenting the arrival time of children. However, arrival and departure times were observed documented on previous dates. I will recommend closing the administrative action. I reminded Ms. Bryan that the administrative action should remain posted until the closure letter is received from the DCDEE. I plan to transfer the file to Ms. Deanna Matthews on Thursday, October 26, 2023. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-90 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 60004224 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 10/24/2023 Number Present: 111 Completed Date: 10/24/2023 Age: From 0 To 5 Total Minutes: 95 Time In: 10:15 AM Time Out: 11:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during an Administrative Action Follow-Up Visit. The center had a compliance history of 79% prior to today’s visit. The following was monitored using the August 2023 Center Item Number Listing: supervision of children; discipline, nurture, or care of children, staff/child ratio, group size, licensed capacity, permit restriction, CPR training, First Aid training, medications and criminal record check requirements regarding pre-service and five-year reassessments in accordance with G.S. 110-90.2(b). Upon arrival I was greeted by Ms. Debbie Bryan, Director, and I explained the purpose of my visit. She accompanied me on the walk through of the facility. In Space 1 for infant care I observed infants playing on the floor, sleeping in their crib, and being held by the teacher. Safe sleep checks were monitored and met requirements. Feeding schedules were posted for each child and each child had an individual crib. Children in Spaces 2, 4, and 5 were observed on their playgrounds. Adequate supervision was observed and staff/child ratio was maintained. In Space 7, Meck Pre-K, children were observed participating in large group activities at the tables. Teachers were observed engaged with children. The arrival times were not yet documented for children. This was corrected during the visit. I observed arrival and departure times documented as required for 10/23/23. Teachers stated attendance for Meck Pre-K was taken on Ascend however the time of arrival/departure was not captured in that program. Arrival and departure times were required to be documented as children arrived and departed each day as they occurred. This was corrected during the visit. One (1) new staff file was reviewed. Adequate supervision was observed and staff/child ratio met requirements. Staff were observed providing a nurturing environment and engaged with children. Two (2) violations were observed and cited. Each was corrected during the visit therefore no corrective action was required. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival times were not documented for 10/24/23 in Space 7. 10A NCAC 09 .0302(d)(4) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A bottle of pesticide was stored on a shelf above five feet in the unlocked closet used to store car seats. The door was opened today. .2820(b) Technical Assistance/General Comments: Child Care Rule 10A NCAC 09 .0302(d)(4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; I discussed this rule with teachers in Space 7 and explained the times should be documented in real time as children arrive and depart each day. I recommend conducting a compliance walk through each morning to check for hazardous product storage and ensure all closets are locked that store hazardous products. I monitored approved policies and procedures from the administrative action. All classrooms implemented the approved policies and procedures. Today, Space 7 was tardy documenting the arrival time of children. However, arrival and departure times were observed documented on previous dates. I will recommend closing the administrative action. I reminded Ms. Bryan that the administrative action should remain posted until the closure letter is received from the DCDEE. I plan to transfer the file to Ms. Deanna Matthews on Thursday, October 26, 2023. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 60004224 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 9/26/2023 Number Present: 105 Completed Date: 9/26/2023 Age: From 0 To 5 Total Minutes: 306 Time In: 10:09 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the full Annual Compliance visit. The facility is currently operating with a Four Star License issued on March 31, 2023 and had an eighteen (18) month compliance history score of 80% prior to today’s visit. The last rated license assessment was completed February 22, 2023. The facility was issued the temporary license on September 30, 2022. The August 2023 Center Item Number Listing and March 2023 Annual Compliance Checklist were used to monitor today. The license, NC Summary of the Law, and administrative action were prominently posted. Upon arrival, I was greeted by Ms. Debbie Bryan, Director. I introduced myself and explained the purpose of my visit. Ms. Bryan stated she was the new director and began employment on 9/25/23. She stated Ms. Mecca Williams last day was 9/1/23. Ms. Bryan was interviewing perspective employees upon my arrival and I began monitoring unaccompanied. She joined me in Space 2. Ms. Summer Elliot, Regional Director, arrived to the facility shortly after I began monitoring. I observed infants in Space 1 sleeping, playing on the floor and being fed. Safe sleep checks were documented and maintained as required on the iPad. Teachers were engaged with infants and observed providing a nurturing environment. Bottles were dated and labeled. Cribs were labeled and each child had an individual sleeping space. In Space 2 infants were observed sleeping, eating, and playing on the carpet. Safe sleep checks were not being documented. Ms. Elliot showed the teachers how to document safe sleep checks on the iPad. Teachers were engaged with children and providing a nurturing environment. Both Space 1 and Space 2 were observed with age appropriate materials and materials were observed in good repair. During the walk through children were observed engaged in large group activities, free choice activities, playing outdoors and participating in transitional activities. Teachers provided nurturing interactions and the supervision, staff/child ratio, capacity and group size met requirements. Spaces 3, 4, and 5 had materials stored in closets and cabinets. Shelves were observed empty. Ms. Elliot placed materials for children’s use during the visit. I monitored medications. Violations regarding medications are listed below. Ms. Bryan stated the facility did not apply diaper creams or topical ointments. The kitchen was monitored. Lunch met nutrition requirements. Arrival and departure times were documented as required. Playgrounds were monitored today. Mulch underneath the climbing structure on the preschool playground measured below six (6) inches. A sampling of staff files was monitored including four (4) new employees. A sampling of children’s files was monitored. Fire Drill logs and emergency drills were completed as required. Playground inspections were completed as required. The facility did not provide transportation. - The last sanitation inspection was conducted on 6/30/23 and received an approved rating. - The last fire inspection was conducted on 9/14/22. A violation was cited today for an overdue annual inspection. Ms. Elliott stated the alarm systems were monitored on 9/1/23 and she placed a call that day to schedule the inspection. She was told inspectors were behind and was able to schedule the inspection for 10/2/23. - EPR plan was updated 9/14/23. - Approved policies and procedures per the administrative action corrective action plan were reviewed with Ms. Bryan today. Policies and procedures will be monitored at the next administrative action follow-up visit in 4-6 weeks. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed 9/14/22 and had not been completed as of the visit today. 10A NCAC 09 .0304(a) 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. In Spaces 3,4, and 5 for toddlers, materials were not available for children to use. Materials were stored in closets and cabinets. .0510(e)(3) 604 Lavatories were not kept clean, in good repair and kept free of storage. Classroom materials were stored in the bathroom in Space 3 and cots were observed stored in Space 10. 15A NCAC 18A .2818(a) 847 Parent's medication authorization did not include required information. One (1) child, Z.W., has an incomplete permission form for Benadryl. The permission form did not indicate the dosage and when the child should take the medication. One (1) child, Z.G, did not have a permission form for Benadryl that was listed on the Medical Action Plan (MAP). 10A NCAC 09 .0803(4)(6-9) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Safe sleep checks were not completed in Space 2. .0606(g) 1041 Prior to employment a Criminal Background Check was not completed. A Speech Therapist from the company SpeechTactics was observed working independently with a child in the resource room did not have a CBC completed prior to employment. G.S. 110-90.2(b) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Two (2) children, R.S. and E.G., enrolled 9/19/22 did not have EMC information completed annually. .0802(c) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. Three (3) children had expired off-premise permissions on file. .1005(b)(4) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Three (3) children's signed discipline policy did not list the date of enrollment. .1804(b) 1757 A valid qualification letter was not on file and available to review at the facility. A Speech Therapist from the company SpeechTactics was observed working independently with a child in the resource room and did not have a CBC letter onsite for review. G.S. 110-90.2(b) & (d) & .2703(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A child, Z.W., with a food allergy did not have a completed medical action plan (MAP) completed. .0801(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch underneath the climbing structure on the preschool playground measured less than six (6) inches. .0605(k)(1-4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One (1) child, P.D., did not have a signed Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(b)(1-6) Corrective Action: Violations must be corrected immediately. The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter that includes the violation item number and an explanation of how each of today’s violations were corrected. Corrections must be received by me on or before Tuesday, October 10, 2023 to the email address listed below or the provider may mail corrections to me at P.O. Box 1967, Huntersville, NC 28078 understanding the letter of compliance should be delivered not submitted by the due date. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance: Resuming Star Rated License Reassessment: The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024, and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each include a preparation year and a reassessment year. While the first reassessment year will not begin until July 1, 2024. -Sanitation Rule Updates- Information regarding rule changes and clarifications can be found at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/op-training.htm. Resources regarding the changes can be found at this site as well. - Toilet training posters were emailed today. - I recommended purchasing a rake for the playground to turn over mulch until more mulch was delivered. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 60004224 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 9/26/2023 Number Present: 105 Completed Date: 9/26/2023 Age: From 0 To 5 Total Minutes: 306 Time In: 10:09 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the full Annual Compliance visit. The facility is currently operating with a Four Star License issued on March 31, 2023 and had an eighteen (18) month compliance history score of 80% prior to today’s visit. The last rated license assessment was completed February 22, 2023. The facility was issued the temporary license on September 30, 2022. The August 2023 Center Item Number Listing and March 2023 Annual Compliance Checklist were used to monitor today. The license, NC Summary of the Law, and administrative action were prominently posted. Upon arrival, I was greeted by Ms. Debbie Bryan, Director. I introduced myself and explained the purpose of my visit. Ms. Bryan stated she was the new director and began employment on 9/25/23. She stated Ms. Mecca Williams last day was 9/1/23. Ms. Bryan was interviewing perspective employees upon my arrival and I began monitoring unaccompanied. She joined me in Space 2. Ms. Summer Elliot, Regional Director, arrived to the facility shortly after I began monitoring. I observed infants in Space 1 sleeping, playing on the floor and being fed. Safe sleep checks were documented and maintained as required on the iPad. Teachers were engaged with infants and observed providing a nurturing environment. Bottles were dated and labeled. Cribs were labeled and each child had an individual sleeping space. In Space 2 infants were observed sleeping, eating, and playing on the carpet. Safe sleep checks were not being documented. Ms. Elliot showed the teachers how to document safe sleep checks on the iPad. Teachers were engaged with children and providing a nurturing environment. Both Space 1 and Space 2 were observed with age appropriate materials and materials were observed in good repair. During the walk through children were observed engaged in large group activities, free choice activities, playing outdoors and participating in transitional activities. Teachers provided nurturing interactions and the supervision, staff/child ratio, capacity and group size met requirements. Spaces 3, 4, and 5 had materials stored in closets and cabinets. Shelves were observed empty. Ms. Elliot placed materials for children’s use during the visit. I monitored medications. Violations regarding medications are listed below. Ms. Bryan stated the facility did not apply diaper creams or topical ointments. The kitchen was monitored. Lunch met nutrition requirements. Arrival and departure times were documented as required. Playgrounds were monitored today. Mulch underneath the climbing structure on the preschool playground measured below six (6) inches. A sampling of staff files was monitored including four (4) new employees. A sampling of children’s files was monitored. Fire Drill logs and emergency drills were completed as required. Playground inspections were completed as required. The facility did not provide transportation. - The last sanitation inspection was conducted on 6/30/23 and received an approved rating. - The last fire inspection was conducted on 9/14/22. A violation was cited today for an overdue annual inspection. Ms. Elliott stated the alarm systems were monitored on 9/1/23 and she placed a call that day to schedule the inspection. She was told inspectors were behind and was able to schedule the inspection for 10/2/23. - EPR plan was updated 9/14/23. - Approved policies and procedures per the administrative action corrective action plan were reviewed with Ms. Bryan today. Policies and procedures will be monitored at the next administrative action follow-up visit in 4-6 weeks. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed 9/14/22 and had not been completed as of the visit today. 10A NCAC 09 .0304(a) 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. In Spaces 3,4, and 5 for toddlers, materials were not available for children to use. Materials were stored in closets and cabinets. .0510(e)(3) 604 Lavatories were not kept clean, in good repair and kept free of storage. Classroom materials were stored in the bathroom in Space 3 and cots were observed stored in Space 10. 15A NCAC 18A .2818(a) 847 Parent's medication authorization did not include required information. One (1) child, Z.W., has an incomplete permission form for Benadryl. The permission form did not indicate the dosage and when the child should take the medication. One (1) child, Z.G, did not have a permission form for Benadryl that was listed on the Medical Action Plan (MAP). 10A NCAC 09 .0803(4)(6-9) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Safe sleep checks were not completed in Space 2. .0606(g) 1041 Prior to employment a Criminal Background Check was not completed. A Speech Therapist from the company SpeechTactics was observed working independently with a child in the resource room did not have a CBC completed prior to employment. G.S. 110-90.2(b) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Two (2) children, R.S. and E.G., enrolled 9/19/22 did not have EMC information completed annually. .0802(c) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. Three (3) children had expired off-premise permissions on file. .1005(b)(4) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Three (3) children's signed discipline policy did not list the date of enrollment. .1804(b) 1757 A valid qualification letter was not on file and available to review at the facility. A Speech Therapist from the company SpeechTactics was observed working independently with a child in the resource room and did not have a CBC letter onsite for review. G.S. 110-90.2(b) & (d) & .2703(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A child, Z.W., with a food allergy did not have a completed medical action plan (MAP) completed. .0801(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch underneath the climbing structure on the preschool playground measured less than six (6) inches. .0605(k)(1-4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One (1) child, P.D., did not have a signed Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(b)(1-6) Corrective Action: Violations must be corrected immediately. The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter that includes the violation item number and an explanation of how each of today’s violations were corrected. Corrections must be received by me on or before Tuesday, October 10, 2023 to the email address listed below or the provider may mail corrections to me at P.O. Box 1967, Huntersville, NC 28078 understanding the letter of compliance should be delivered not submitted by the due date. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance: Resuming Star Rated License Reassessment: The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024, and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each include a preparation year and a reassessment year. While the first reassessment year will not begin until July 1, 2024. -Sanitation Rule Updates- Information regarding rule changes and clarifications can be found at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/op-training.htm. Resources regarding the changes can be found at this site as well. - Toilet training posters were emailed today. - I recommended purchasing a rake for the playground to turn over mulch until more mulch was delivered. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 60004224 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 9/26/2023 Number Present: 105 Completed Date: 9/26/2023 Age: From 0 To 5 Total Minutes: 306 Time In: 10:09 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor the facility for all applicable child care requirements during the full Annual Compliance visit. The facility is currently operating with a Four Star License issued on March 31, 2023 and had an eighteen (18) month compliance history score of 80% prior to today’s visit. The last rated license assessment was completed February 22, 2023. The facility was issued the temporary license on September 30, 2022. The August 2023 Center Item Number Listing and March 2023 Annual Compliance Checklist were used to monitor today. The license, NC Summary of the Law, and administrative action were prominently posted. Upon arrival, I was greeted by Ms. Debbie Bryan, Director. I introduced myself and explained the purpose of my visit. Ms. Bryan stated she was the new director and began employment on 9/25/23. She stated Ms. Mecca Williams last day was 9/1/23. Ms. Bryan was interviewing perspective employees upon my arrival and I began monitoring unaccompanied. She joined me in Space 2. Ms. Summer Elliot, Regional Director, arrived to the facility shortly after I began monitoring. I observed infants in Space 1 sleeping, playing on the floor and being fed. Safe sleep checks were documented and maintained as required on the iPad. Teachers were engaged with infants and observed providing a nurturing environment. Bottles were dated and labeled. Cribs were labeled and each child had an individual sleeping space. In Space 2 infants were observed sleeping, eating, and playing on the carpet. Safe sleep checks were not being documented. Ms. Elliot showed the teachers how to document safe sleep checks on the iPad. Teachers were engaged with children and providing a nurturing environment. Both Space 1 and Space 2 were observed with age appropriate materials and materials were observed in good repair. During the walk through children were observed engaged in large group activities, free choice activities, playing outdoors and participating in transitional activities. Teachers provided nurturing interactions and the supervision, staff/child ratio, capacity and group size met requirements. Spaces 3, 4, and 5 had materials stored in closets and cabinets. Shelves were observed empty. Ms. Elliot placed materials for children’s use during the visit. I monitored medications. Violations regarding medications are listed below. Ms. Bryan stated the facility did not apply diaper creams or topical ointments. The kitchen was monitored. Lunch met nutrition requirements. Arrival and departure times were documented as required. Playgrounds were monitored today. Mulch underneath the climbing structure on the preschool playground measured below six (6) inches. A sampling of staff files was monitored including four (4) new employees. A sampling of children’s files was monitored. Fire Drill logs and emergency drills were completed as required. Playground inspections were completed as required. The facility did not provide transportation. - The last sanitation inspection was conducted on 6/30/23 and received an approved rating. - The last fire inspection was conducted on 9/14/22. A violation was cited today for an overdue annual inspection. Ms. Elliott stated the alarm systems were monitored on 9/1/23 and she placed a call that day to schedule the inspection. She was told inspectors were behind and was able to schedule the inspection for 10/2/23. - EPR plan was updated 9/14/23. - Approved policies and procedures per the administrative action corrective action plan were reviewed with Ms. Bryan today. Policies and procedures will be monitored at the next administrative action follow-up visit in 4-6 weeks. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed 9/14/22 and had not been completed as of the visit today. 10A NCAC 09 .0304(a) 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. In Spaces 3,4, and 5 for toddlers, materials were not available for children to use. Materials were stored in closets and cabinets. .0510(e)(3) 604 Lavatories were not kept clean, in good repair and kept free of storage. Classroom materials were stored in the bathroom in Space 3 and cots were observed stored in Space 10. 15A NCAC 18A .2818(a) 847 Parent's medication authorization did not include required information. One (1) child, Z.W., has an incomplete permission form for Benadryl. The permission form did not indicate the dosage and when the child should take the medication. One (1) child, Z.G, did not have a permission form for Benadryl that was listed on the Medical Action Plan (MAP). 10A NCAC 09 .0803(4)(6-9) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Safe sleep checks were not completed in Space 2. .0606(g) 1041 Prior to employment a Criminal Background Check was not completed. A Speech Therapist from the company SpeechTactics was observed working independently with a child in the resource room did not have a CBC completed prior to employment. G.S. 110-90.2(b) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Two (2) children, R.S. and E.G., enrolled 9/19/22 did not have EMC information completed annually. .0802(c) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. Three (3) children had expired off-premise permissions on file. .1005(b)(4) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Three (3) children's signed discipline policy did not list the date of enrollment. .1804(b) 1757 A valid qualification letter was not on file and available to review at the facility. A Speech Therapist from the company SpeechTactics was observed working independently with a child in the resource room and did not have a CBC letter onsite for review. G.S. 110-90.2(b) & (d) & .2703(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A child, Z.W., with a food allergy did not have a completed medical action plan (MAP) completed. .0801(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch underneath the climbing structure on the preschool playground measured less than six (6) inches. .0605(k)(1-4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One (1) child, P.D., did not have a signed Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(b)(1-6) Corrective Action: Violations must be corrected immediately. The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter that includes the violation item number and an explanation of how each of today’s violations were corrected. Corrections must be received by me on or before Tuesday, October 10, 2023 to the email address listed below or the provider may mail corrections to me at P.O. Box 1967, Huntersville, NC 28078 understanding the letter of compliance should be delivered not submitted by the due date. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance: Resuming Star Rated License Reassessment: The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024, and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each include a preparation year and a reassessment year. While the first reassessment year will not begin until July 1, 2024. -Sanitation Rule Updates- Information regarding rule changes and clarifications can be found at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/op-training.htm. Resources regarding the changes can be found at this site as well. - Toilet training posters were emailed today. - I recommended purchasing a rake for the playground to turn over mulch until more mulch was delivered. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 60004224 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 8/8/2023 Number Present: 98 Completed Date: 8/8/2023 Age: From 0 To 5 Total Minutes: 330 Time In: 09:30 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during a Administrative Action Follow-Up Visit. The center had a compliance history of 80% prior to today’s visit. The following was monitored using the June 2022 Center Item Number Listing: supervision of children; discipline, nurture, or care of children, staff/child ratio, group size, licensed capacity, permit restriction, CPR training, First Aid training, medications and criminal record check requirements regarding pre-service and five-year reassessments in accordance with G.S. 110-90.2(b). Ms. Deanna Matthew, licensing consultant, accompanied me today. Upon arrival we were greeted by Ms. Shaundra Garris, assistant director, and she escorted us to the director’s office. Ms. Mecca Williams, director, was present. Ms. Matthews and I conducted the walk through of Spaces 1 and 2 unaccompanied. Ms. Garris joined us in Spaces 3 – 10 and outdoors. In the room for infants we observed safe sleeps completed on the tablet as well as arrival/departure times. Safe sleep sleeps were maintained on the tablet for at least 30 days. Staff were not initialing safe sleep checks. We explained that the initials were required to meet compliance per the posted safe sleep policy. Teachers were observed providing a nurturing environment. Toddler and preschool aged children were observed participating in free play and playing on the preschool playground. Arrival and departure times were documented as required. Teachers were engaged with children. In Space 5 we observed the carpet wet underneath the sink in the classroom. Ms. Garris explained the toilet overflowed and the water was coming from the bathroom. The bathroom door was closed. I opened the door and observed standing water around the toilet and next to the wall. I explained children could not be in the classroom until the carpet was cleaned and dried and the toilet was repaired. I called Nicole Bruce, Environmental Health Specialist, and reported the issue. Ms. Bruce stated she would make a visit to the facility. I explained that broken fixtures and water damage should be reported to Environmental Health and the consultant. Medications and permissions were monitored. We reviewed four (4) new staff files. Adequate supervision was observed and staff/child ratio met requirements. Visits will continue to be conducted to monitor stipulations of the administrative action. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in Space 1. GS 110-91(12); .0508(a) 605 Toilet fixtures were not cleaned and disinfected at least daily and when visibly soiled. The toilet fixture was broken in Space 8; leaked into classroom and resulted in wet carpet. 15A NCAC 18A.2817(b) 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. Soap was not available in the Activity Room. 15A NCAC 18A .2818(b) & (d) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. The walls in the infant room, toddler room, and the activity are in need of repair, and the ceiling tiles need to be replaced in Space 2., ceiling tiles are missing in Space 3., with exposed insulation. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Electrical Outlet covers were not covered in Spaces 5., 6., 7., and 8. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A aerosol Lysol spray, a small bottle of Jergen's lotion, and Limoncello aerosol spray was in the bathroom in Space 2. In Space 5, there was an unlocked cabinet with an aerosol spray and a Magic Eraser; sunscreen and Lysol wipes were observed in the bathroom accessible to children. .2820(b) 847 Parent's medication authorization did not include required information. A child's medication (Benadryl) was not available according to the Medication Administration Plan. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags that contained pampers were accessible to children in Space 2. .0604(q) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. Staff providing care in infant rooms (Space 1., and Space 2.,) did not follow the safe sleep policy by initialing the infant safe sleep logs to met compliance. .0606(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff (D.C.) and (N.J.) did not have an annual health questionnaire on file. .0701(a) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space 10., there was an ointment cream that did not have a twelve (12) month permission form. In Space 7., there was an expired six (6) month permission form that expired for a child on July 20, 2023. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 9995 A violation was found for which there is no item number. A handwashing sign was not posted in Space 5. Corrective Action: Violations must be corrected immediately. The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter that includes the violation item number and an explanation of how each of today’s violations were corrected. Corrections must be received by me on or before Tuesday, August 22, 2023 to the email address listed below or the provider may mail corrections to me at P.O. Box 1967, Huntersville, NC 28078 understanding the letter of compliance should be delivered not submitted by the due date. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. The following Technical Assistance (TA) was provided: -Retain Safe Sleep Logs for thirty (30) days, and ensure that staff initial the log when documenting. -Ceiling tiles need to be replaced when they become damaged (wet) -Additional materials and toys are needed in Space 5., to assist with transition. -Move storage boxes out of Space 9. -Report to Mecklenburg Environmental Health and consultant, if toilet malfunctions again in Space 8. -A compliance sweep is recommended during the morning, and include the compliance checklist in each space. -Magnet locks and true locks (lock and key) serve as a "lock" not child proof latches. -All preschool classrooms should have an available cot per child for napping. -Large boxes in the outdoor area near the trash collection need to be removed as soon as possible. Broken toys in the trash area need to be discarded as soon as possible. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 60004224 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 8/8/2023 Number Present: 98 Completed Date: 8/8/2023 Age: From 0 To 5 Total Minutes: 330 Time In: 09:30 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during a Administrative Action Follow-Up Visit. The center had a compliance history of 80% prior to today’s visit. The following was monitored using the June 2022 Center Item Number Listing: supervision of children; discipline, nurture, or care of children, staff/child ratio, group size, licensed capacity, permit restriction, CPR training, First Aid training, medications and criminal record check requirements regarding pre-service and five-year reassessments in accordance with G.S. 110-90.2(b). Ms. Deanna Matthew, licensing consultant, accompanied me today. Upon arrival we were greeted by Ms. Shaundra Garris, assistant director, and she escorted us to the director’s office. Ms. Mecca Williams, director, was present. Ms. Matthews and I conducted the walk through of Spaces 1 and 2 unaccompanied. Ms. Garris joined us in Spaces 3 – 10 and outdoors. In the room for infants we observed safe sleeps completed on the tablet as well as arrival/departure times. Safe sleep sleeps were maintained on the tablet for at least 30 days. Staff were not initialing safe sleep checks. We explained that the initials were required to meet compliance per the posted safe sleep policy. Teachers were observed providing a nurturing environment. Toddler and preschool aged children were observed participating in free play and playing on the preschool playground. Arrival and departure times were documented as required. Teachers were engaged with children. In Space 5 we observed the carpet wet underneath the sink in the classroom. Ms. Garris explained the toilet overflowed and the water was coming from the bathroom. The bathroom door was closed. I opened the door and observed standing water around the toilet and next to the wall. I explained children could not be in the classroom until the carpet was cleaned and dried and the toilet was repaired. I called Nicole Bruce, Environmental Health Specialist, and reported the issue. Ms. Bruce stated she would make a visit to the facility. I explained that broken fixtures and water damage should be reported to Environmental Health and the consultant. Medications and permissions were monitored. We reviewed four (4) new staff files. Adequate supervision was observed and staff/child ratio met requirements. Visits will continue to be conducted to monitor stipulations of the administrative action. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in Space 1. GS 110-91(12); .0508(a) 605 Toilet fixtures were not cleaned and disinfected at least daily and when visibly soiled. The toilet fixture was broken in Space 8; leaked into classroom and resulted in wet carpet. 15A NCAC 18A.2817(b) 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. Soap was not available in the Activity Room. 15A NCAC 18A .2818(b) & (d) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. The walls in the infant room, toddler room, and the activity are in need of repair, and the ceiling tiles need to be replaced in Space 2., ceiling tiles are missing in Space 3., with exposed insulation. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Electrical Outlet covers were not covered in Spaces 5., 6., 7., and 8. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A aerosol Lysol spray, a small bottle of Jergen's lotion, and Limoncello aerosol spray was in the bathroom in Space 2. In Space 5, there was an unlocked cabinet with an aerosol spray and a Magic Eraser; sunscreen and Lysol wipes were observed in the bathroom accessible to children. .2820(b) 847 Parent's medication authorization did not include required information. A child's medication (Benadryl) was not available according to the Medication Administration Plan. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags that contained pampers were accessible to children in Space 2. .0604(q) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. Staff providing care in infant rooms (Space 1., and Space 2.,) did not follow the safe sleep policy by initialing the infant safe sleep logs to met compliance. .0606(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff (D.C.) and (N.J.) did not have an annual health questionnaire on file. .0701(a) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space 10., there was an ointment cream that did not have a twelve (12) month permission form. In Space 7., there was an expired six (6) month permission form that expired for a child on July 20, 2023. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 9995 A violation was found for which there is no item number. A handwashing sign was not posted in Space 5. Corrective Action: Violations must be corrected immediately. The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter that includes the violation item number and an explanation of how each of today’s violations were corrected. Corrections must be received by me on or before Tuesday, August 22, 2023 to the email address listed below or the provider may mail corrections to me at P.O. Box 1967, Huntersville, NC 28078 understanding the letter of compliance should be delivered not submitted by the due date. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. The following Technical Assistance (TA) was provided: -Retain Safe Sleep Logs for thirty (30) days, and ensure that staff initial the log when documenting. -Ceiling tiles need to be replaced when they become damaged (wet) -Additional materials and toys are needed in Space 5., to assist with transition. -Move storage boxes out of Space 9. -Report to Mecklenburg Environmental Health and consultant, if toilet malfunctions again in Space 8. -A compliance sweep is recommended during the morning, and include the compliance checklist in each space. -Magnet locks and true locks (lock and key) serve as a "lock" not child proof latches. -All preschool classrooms should have an available cot per child for napping. -Large boxes in the outdoor area near the trash collection need to be removed as soon as possible. Broken toys in the trash area need to be discarded as soon as possible. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 60004224 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 8/8/2023 Number Present: 98 Completed Date: 8/8/2023 Age: From 0 To 5 Total Minutes: 330 Time In: 09:30 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during a Administrative Action Follow-Up Visit. The center had a compliance history of 80% prior to today’s visit. The following was monitored using the June 2022 Center Item Number Listing: supervision of children; discipline, nurture, or care of children, staff/child ratio, group size, licensed capacity, permit restriction, CPR training, First Aid training, medications and criminal record check requirements regarding pre-service and five-year reassessments in accordance with G.S. 110-90.2(b). Ms. Deanna Matthew, licensing consultant, accompanied me today. Upon arrival we were greeted by Ms. Shaundra Garris, assistant director, and she escorted us to the director’s office. Ms. Mecca Williams, director, was present. Ms. Matthews and I conducted the walk through of Spaces 1 and 2 unaccompanied. Ms. Garris joined us in Spaces 3 – 10 and outdoors. In the room for infants we observed safe sleeps completed on the tablet as well as arrival/departure times. Safe sleep sleeps were maintained on the tablet for at least 30 days. Staff were not initialing safe sleep checks. We explained that the initials were required to meet compliance per the posted safe sleep policy. Teachers were observed providing a nurturing environment. Toddler and preschool aged children were observed participating in free play and playing on the preschool playground. Arrival and departure times were documented as required. Teachers were engaged with children. In Space 5 we observed the carpet wet underneath the sink in the classroom. Ms. Garris explained the toilet overflowed and the water was coming from the bathroom. The bathroom door was closed. I opened the door and observed standing water around the toilet and next to the wall. I explained children could not be in the classroom until the carpet was cleaned and dried and the toilet was repaired. I called Nicole Bruce, Environmental Health Specialist, and reported the issue. Ms. Bruce stated she would make a visit to the facility. I explained that broken fixtures and water damage should be reported to Environmental Health and the consultant. Medications and permissions were monitored. We reviewed four (4) new staff files. Adequate supervision was observed and staff/child ratio met requirements. Visits will continue to be conducted to monitor stipulations of the administrative action. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in Space 1. GS 110-91(12); .0508(a) 605 Toilet fixtures were not cleaned and disinfected at least daily and when visibly soiled. The toilet fixture was broken in Space 8; leaked into classroom and resulted in wet carpet. 15A NCAC 18A.2817(b) 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. Soap was not available in the Activity Room. 15A NCAC 18A .2818(b) & (d) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. The walls in the infant room, toddler room, and the activity are in need of repair, and the ceiling tiles need to be replaced in Space 2., ceiling tiles are missing in Space 3., with exposed insulation. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Electrical Outlet covers were not covered in Spaces 5., 6., 7., and 8. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A aerosol Lysol spray, a small bottle of Jergen's lotion, and Limoncello aerosol spray was in the bathroom in Space 2. In Space 5, there was an unlocked cabinet with an aerosol spray and a Magic Eraser; sunscreen and Lysol wipes were observed in the bathroom accessible to children. .2820(b) 847 Parent's medication authorization did not include required information. A child's medication (Benadryl) was not available according to the Medication Administration Plan. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags that contained pampers were accessible to children in Space 2. .0604(q) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. Staff providing care in infant rooms (Space 1., and Space 2.,) did not follow the safe sleep policy by initialing the infant safe sleep logs to met compliance. .0606(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff (D.C.) and (N.J.) did not have an annual health questionnaire on file. .0701(a) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space 10., there was an ointment cream that did not have a twelve (12) month permission form. In Space 7., there was an expired six (6) month permission form that expired for a child on July 20, 2023. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 9995 A violation was found for which there is no item number. A handwashing sign was not posted in Space 5. Corrective Action: Violations must be corrected immediately. The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter that includes the violation item number and an explanation of how each of today’s violations were corrected. Corrections must be received by me on or before Tuesday, August 22, 2023 to the email address listed below or the provider may mail corrections to me at P.O. Box 1967, Huntersville, NC 28078 understanding the letter of compliance should be delivered not submitted by the due date. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. The following Technical Assistance (TA) was provided: -Retain Safe Sleep Logs for thirty (30) days, and ensure that staff initial the log when documenting. -Ceiling tiles need to be replaced when they become damaged (wet) -Additional materials and toys are needed in Space 5., to assist with transition. -Move storage boxes out of Space 9. -Report to Mecklenburg Environmental Health and consultant, if toilet malfunctions again in Space 8. -A compliance sweep is recommended during the morning, and include the compliance checklist in each space. -Magnet locks and true locks (lock and key) serve as a "lock" not child proof latches. -All preschool classrooms should have an available cot per child for napping. -Large boxes in the outdoor area near the trash collection need to be removed as soon as possible. Broken toys in the trash area need to be discarded as soon as possible. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: THE GROWING YEARS Facility ID: 60004224 Consultant: JENNIFER STANSFIELD Operation Type: Center Case Number: Visit Date: 8/8/2023 Number Present: 98 Completed Date: 8/8/2023 Age: From 0 To 5 Total Minutes: 330 Time In: 09:30 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during a Administrative Action Follow-Up Visit. The center had a compliance history of 80% prior to today’s visit. The following was monitored using the June 2022 Center Item Number Listing: supervision of children; discipline, nurture, or care of children, staff/child ratio, group size, licensed capacity, permit restriction, CPR training, First Aid training, medications and criminal record check requirements regarding pre-service and five-year reassessments in accordance with G.S. 110-90.2(b). Ms. Deanna Matthew, licensing consultant, accompanied me today. Upon arrival we were greeted by Ms. Shaundra Garris, assistant director, and she escorted us to the director’s office. Ms. Mecca Williams, director, was present. Ms. Matthews and I conducted the walk through of Spaces 1 and 2 unaccompanied. Ms. Garris joined us in Spaces 3 – 10 and outdoors. In the room for infants we observed safe sleeps completed on the tablet as well as arrival/departure times. Safe sleep sleeps were maintained on the tablet for at least 30 days. Staff were not initialing safe sleep checks. We explained that the initials were required to meet compliance per the posted safe sleep policy. Teachers were observed providing a nurturing environment. Toddler and preschool aged children were observed participating in free play and playing on the preschool playground. Arrival and departure times were documented as required. Teachers were engaged with children. In Space 5 we observed the carpet wet underneath the sink in the classroom. Ms. Garris explained the toilet overflowed and the water was coming from the bathroom. The bathroom door was closed. I opened the door and observed standing water around the toilet and next to the wall. I explained children could not be in the classroom until the carpet was cleaned and dried and the toilet was repaired. I called Nicole Bruce, Environmental Health Specialist, and reported the issue. Ms. Bruce stated she would make a visit to the facility. I explained that broken fixtures and water damage should be reported to Environmental Health and the consultant. Medications and permissions were monitored. We reviewed four (4) new staff files. Adequate supervision was observed and staff/child ratio met requirements. Visits will continue to be conducted to monitor stipulations of the administrative action. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in Space 1. GS 110-91(12); .0508(a) 605 Toilet fixtures were not cleaned and disinfected at least daily and when visibly soiled. The toilet fixture was broken in Space 8; leaked into classroom and resulted in wet carpet. 15A NCAC 18A.2817(b) 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. Soap was not available in the Activity Room. 15A NCAC 18A .2818(b) & (d) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. The walls in the infant room, toddler room, and the activity are in need of repair, and the ceiling tiles need to be replaced in Space 2., ceiling tiles are missing in Space 3., with exposed insulation. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Electrical Outlet covers were not covered in Spaces 5., 6., 7., and 8. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A aerosol Lysol spray, a small bottle of Jergen's lotion, and Limoncello aerosol spray was in the bathroom in Space 2. In Space 5, there was an unlocked cabinet with an aerosol spray and a Magic Eraser; sunscreen and Lysol wipes were observed in the bathroom accessible to children. .2820(b) 847 Parent's medication authorization did not include required information. A child's medication (Benadryl) was not available according to the Medication Administration Plan. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags that contained pampers were accessible to children in Space 2. .0604(q) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. Staff providing care in infant rooms (Space 1., and Space 2.,) did not follow the safe sleep policy by initialing the infant safe sleep logs to met compliance. .0606(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff (D.C.) and (N.J.) did not have an annual health questionnaire on file. .0701(a) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space 10., there was an ointment cream that did not have a twelve (12) month permission form. In Space 7., there was an expired six (6) month permission form that expired for a child on July 20, 2023. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 9995 A violation was found for which there is no item number. A handwashing sign was not posted in Space 5. Corrective Action: Violations must be corrected immediately. The child care provider is expected to maintain all applicable child care requirements at all times. The provider will send me a compliance letter that includes the violation item number and an explanation of how each of today’s violations were corrected. Corrections must be received by me on or before Tuesday, August 22, 2023 to the email address listed below or the provider may mail corrections to me at P.O. Box 1967, Huntersville, NC 28078 understanding the letter of compliance should be delivered not submitted by the due date. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. The following Technical Assistance (TA) was provided: -Retain Safe Sleep Logs for thirty (30) days, and ensure that staff initial the log when documenting. -Ceiling tiles need to be replaced when they become damaged (wet) -Additional materials and toys are needed in Space 5., to assist with transition. -Move storage boxes out of Space 9. -Report to Mecklenburg Environmental Health and consultant, if toilet malfunctions again in Space 8. -A compliance sweep is recommended during the morning, and include the compliance checklist in each space. -Magnet locks and true locks (lock and key) serve as a "lock" not child proof latches. -All preschool classrooms should have an available cot per child for napping. -Large boxes in the outdoor area near the trash collection need to be removed as soon as possible. Broken toys in the trash area need to be discarded as soon as possible. Thank you for your time today. Please contact me with questions or concerns at jennifer.stansfield@dhhs.nc.gov or 704-956-1648. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times